Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.70 / $3,024.00 / $10,156.00	Facility		$821.70	$3,024.00	$10,156.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.19 / $699.32 / $1,246.28	Professional		$506.19	$699.32	$1,246.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,695.16 / $8,324.91 / $13,248.65	Facility		$5,695.16	$8,324.91	$13,248.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.75 / $1,150.15 / $1,452.96	Professional		$674.75	$1,150.15	$1,452.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $5,676.58 / $6,337.22	Facility		$1,383.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.71 / $878.84 / $1,360.29	Professional		$602.71	$878.84	$1,360.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $731.97 / $1,072.85 / $2,823.03	Professional		$731.97	$1,072.85	$2,823.03
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 $683.45 / $712.28 / $993.47	Professional		$683.45	$712.28	$993.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,123.39	Professional		$32.34	$32.34	$1,123.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.16 / $928.81 / $1,569.54	Professional		$678.16	$928.81	$1,569.54