Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.35 / $2,232.00 / $5,549.00	Facility		$829.35	$2,232.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.31 / $829.35 / $1,616.55	Professional		$725.31	$829.35	$1,616.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,788.99 / $8,079.32 / $17,622.03	Facility		$3,788.99	$8,079.32	$17,622.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.11 / $1,073.39 / $1,298.68	Professional		$812.11	$1,073.39	$1,298.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.20 / $1,126.09 / $1,683.07	Professional		$786.20	$1,126.09	$1,683.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $883.70 / $1,418.31 / $3,905.69	Professional		$883.70	$1,418.31	$3,905.69
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 $1,036.84 / $1,108.85 / $1,229.20	Professional		$1,036.84	$1,108.85	$1,229.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,418.31	Professional		$32.34	$32.34	$1,418.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $3,751.00 / $6,625.00	Facility		$1,981.00	$3,751.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.12 / $1,111.65 / $1,926.49	Professional		$798.12	$1,111.65	$1,926.49