Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.11 / $1,972.00 / $5,393.00	Facility		$762.11	$1,972.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.00 / $762.11 / $1,398.94	Professional		$628.00	$762.11	$1,398.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,293.41 / $8,170.38 / $17,820.64	Facility		$4,293.41	$8,170.38	$17,820.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $909.13 / $1,257.11 / $1,334.88	Professional		$909.13	$1,257.11	$1,334.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,713.32 / $3,029.10	Facility		$875.00	$2,713.32	$3,029.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.30 / $1,083.16 / $1,587.22	Professional		$711.30	$1,083.16	$1,587.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $845.67 / $1,244.23 / $5,588.71	Professional		$845.67	$1,244.23	$5,588.71
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 $888.30 / $951.47 / $1,055.15	Professional		$888.30	$951.47	$1,055.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,193.13	Professional		$32.34	$32.34	$1,193.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.45 / $914.81 / $1,662.23	Professional		$715.45	$914.81	$1,662.23