Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.93 / $2,118.00 / $5,393.00	Facility		$828.93	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.34 / $828.93 / $1,531.87	Professional		$696.34	$828.93	$1,531.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,654.39 / $10,488.02 / $18,928.64	Facility		$7,654.39	$10,488.02	$18,928.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,036.98 / $1,343.65 / $1,537.40	Professional		$1,036.98	$1,343.65	$1,537.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,011.78 / $6,711.43	Facility		$709.00	$6,011.78	$6,711.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.84 / $1,205.84 / $1,750.10	Professional		$814.84	$1,205.84	$1,750.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $939.19 / $1,374.67 / $3,825.24	Professional		$939.19	$1,374.67	$3,825.24
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 $959.93 / $1,045.07 / $1,162.81	Professional		$959.93	$1,045.07	$1,162.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,314.87	Professional		$32.34	$32.34	$1,314.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.06 / $1,069.92 / $1,826.66	Professional		$786.06	$1,069.92	$1,826.66