Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $1,682.06 / $4,634.00	Facility		$813.00	$1,682.06	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.80 / $858.83 / $1,426.19	Professional		$661.80	$858.83	$1,426.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,038.23 / $8,252.31 / $17,999.33	Facility		$2,038.23	$8,252.31	$17,999.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $872.94 / $1,470.52 / $1,795.66	Professional		$872.94	$1,470.52	$1,795.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,279.13 / $1,428.00	Facility		$620.00	$1,279.13	$1,428.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.82 / $1,080.98 / $1,585.54	Professional		$399.82	$1,080.98	$1,585.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $599.13 / $1,283.13 / $1,756.43	Professional		$599.13	$1,283.13	$1,756.43
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 $914.93 / $926.67 / $1,234.25	Professional		$914.93	$926.67	$1,234.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,395.65	Professional		$32.34	$32.34	$1,395.65
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 $633.47 / $989.24 / $1,819.64	Professional		$633.47	$989.24	$1,819.64