Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.46 / $2,232.00 / $5,430.00	Facility		$844.46	$2,232.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.29 / $844.46 / $1,647.02	Professional		$738.29	$844.46	$1,647.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,788.99 / $8,226.54 / $17,943.16	Facility		$3,788.99	$8,226.54	$17,943.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.01 / $1,094.57 / $1,323.93	Professional		$918.01	$1,094.57	$1,323.93
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 $790.51 / $1,146.65 / $1,716.28	Professional		$790.51	$1,146.65	$1,716.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $901.22 / $1,446.30 / $11,306.27	Professional		$901.22	$1,446.30	$11,306.27
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 $1,055.60 / $1,130.42 / $1,253.46	Professional		$1,055.60	$1,130.42	$1,253.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,446.30	Professional		$32.34	$32.34	$1,446.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,951.00 / $6,625.00	Facility		$1,600.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $814.62 / $1,118.90 / $1,963.19	Professional		$814.62	$1,118.90	$1,963.19