Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.72 / $2,169.26 / $5,405.00	Facility		$881.72	$2,169.26	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.43 / $881.72 / $1,740.82	Professional		$769.43	$881.72	$1,740.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,882.94 / $8,589.54 / $18,734.89	Facility		$3,882.94	$8,589.54	$18,734.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,016.65 / $1,343.56 / $1,625.79	Professional		$1,016.65	$1,343.56	$1,625.79
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 $818.21 / $1,199.66 / $1,790.69	Professional		$818.21	$1,199.66	$1,790.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $941.17 / $1,509.02 / $4,663.68	Professional		$941.17	$1,509.02	$4,663.68
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 $1,099.29 / $1,179.93 / $1,307.81	Professional		$1,099.29	$1,179.93	$1,307.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,509.02	Professional		$32.34	$32.34	$1,509.02
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 $854.88 / $1,175.46 / $2,066.46	Professional		$854.88	$1,175.46	$2,066.46