Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,758.00 / $5,580.00	Facility		$813.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.65 / $757.58 / $1,371.20	Professional		$638.65	$757.58	$1,371.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,293.41 / $8,121.89 / $17,714.88	Facility		$4,293.41	$8,121.89	$17,714.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $967.03 / $1,329.72 / $1,329.72	Professional		$967.03	$1,329.72	$1,329.72
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 $761.09 / $1,084.83 / $1,592.28	Professional		$761.09	$1,084.83	$1,592.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.28 / $1,251.41 / $3,160.17	Professional		$851.28	$1,251.41	$3,160.17
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 $895.95 / $951.37 / $1,044.67	Professional		$895.95	$951.37	$1,044.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,181.28	Professional		$32.34	$32.34	$1,181.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $710.63 / $984.05 / $1,647.96	Professional		$710.63	$984.05	$1,647.96