Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.56 / $2,281.42 / $5,430.00	Facility		$988.56	$2,281.42	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.75 / $988.56 / $1,859.28	Professional		$854.75	$988.56	$1,859.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,891.58 / $12,602.32 / $25,236.14	Facility		$5,891.58	$12,602.32	$25,236.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,197.01 / $1,574.16 / $1,825.53	Professional		$1,197.01	$1,574.16	$1,825.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.30 / $1,414.69 / $2,115.38	Professional		$1,002.30	$1,414.69	$2,115.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.32 / $1,647.85 / $4,237.85	Professional		$1,100.32	$1,647.85	$4,237.85
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 $1,170.64 / $1,240.94 / $1,362.30	Professional		$1,170.64	$1,240.94	$1,362.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,540.44	Professional		$32.34	$32.34	$1,540.44
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,800.00 / $7,384.00	Facility		$800.00	$2,800.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $952.99 / $1,367.82 / $2,261.80	Professional		$952.99	$1,367.82	$2,261.80