Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.19 / $1,835.00 / $5,091.00	Facility		$730.19	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.08 / $730.19 / $1,419.32	Professional		$629.08	$730.19	$1,419.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,293.41 / $7,828.22 / $17,074.33	Facility		$4,293.41	$7,828.22	$17,074.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $864.96 / $1,196.04 / $1,370.80	Professional		$864.96	$1,196.04	$1,370.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $2,713.32 / $3,029.10	Facility		$620.00	$2,713.32	$3,029.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.90 / $1,042.49 / $1,551.17	Professional		$720.90	$1,042.49	$1,551.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $820.47 / $1,214.30 / $3,142.06	Professional		$820.47	$1,214.30	$3,142.06
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 $892.05 / $922.56 / $1,003.87	Professional		$892.05	$922.56	$1,003.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,135.15	Professional		$32.34	$32.34	$1,135.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $701.66 / $940.27 / $1,613.90	Professional		$701.66	$940.27	$1,613.90