Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.90 / $2,118.00 / $5,393.00	Facility		$768.90	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.88 / $803.50 / $1,651.47	Professional		$661.88	$803.50	$1,651.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,293.41 / $8,243.24 / $17,979.56	Facility		$4,293.41	$8,243.24	$17,979.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $931.56 / $1,288.14 / $1,610.81	Professional		$931.56	$1,288.14	$1,610.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $2,713.32 / $3,029.10	Facility		$709.00	$2,713.32	$3,029.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.50 / $1,123.34 / $1,825.07	Professional		$808.50	$1,123.34	$1,825.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $913.17 / $1,330.67 / $3,918.98	Professional		$913.17	$1,330.67	$3,918.98
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 $961.16 / $997.58 / $1,081.17	Professional		$961.16	$997.58	$1,081.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,231.52	Professional		$32.34	$32.34	$1,231.52
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 $799.74 / $1,116.98 / $1,973.74	Professional		$799.74	$1,116.98	$1,973.74