Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.96 / $1,842.00 / $5,091.00	Facility		$917.96	$1,842.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.87 / $863.40 / $1,562.49	Professional		$703.87	$863.40	$1,562.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,687.00 / $9,610.53 / $20,961.78	Facility		$2,687.00	$9,610.53	$20,961.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,156.67 / $1,498.73 / $1,656.18	Professional		$1,156.67	$1,498.73	$1,656.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,799.73 / $2,009.18	Facility		$620.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.94 / $1,212.96 / $1,671.41	Professional		$658.94	$1,212.96	$1,671.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $808.61 / $1,441.69 / $2,845.21	Professional		$808.61	$1,441.69	$2,845.21
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $959.09 / $1,125.83 / $1,297.02	Professional		$959.09	$1,125.83	$1,297.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,466.63	Professional		$32.34	$32.34	$1,466.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.66 / $997.73 / $1,916.81	Professional		$636.66	$997.73	$1,916.81