Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,157.00 / $5,393.00	Facility		$755.00	$2,157.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.32 / $748.76 / $1,372.12	Professional		$645.32	$748.76	$1,372.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,788.99 / $7,338.95 / $16,007.18	Facility		$3,788.99	$7,338.95	$16,007.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $962.60 / $1,147.74 / $1,387.96	Professional		$962.60	$1,147.74	$1,387.96
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 $684.17 / $1,007.32 / $1,529.70	Professional		$684.17	$1,007.32	$1,529.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $802.55 / $1,278.52 / $3,411.94	Professional		$802.55	$1,278.52	$3,411.94
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 $943.33 / $1,007.32 / $1,117.19	Professional		$943.33	$1,007.32	$1,117.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,289.07	Professional		$32.34	$32.34	$1,289.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.95 / $968.73 / $1,700.11	Professional		$691.95	$968.73	$1,700.11