Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $3,359.55 / $12,401.00	Facility		$813.00	$3,359.55	$12,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.08 / $4,556.97 / $9,162.12	Professional		$478.08	$4,556.97	$9,162.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,239.01 / $9,516.98 / $13,180.78	Facility		$5,239.01	$9,516.98	$13,180.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.19 / $1,778.79 / $10,069.42	Professional		$617.19	$1,778.79	$10,069.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.46 / $1,269.06 / $9,563.26	Professional		$569.46	$1,269.06	$9,563.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $704.17 / $7,021.83 / $10,793.05	Professional		$704.17	$7,021.83	$10,793.05
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 $587.74 / $648.01 / $6,984.41	Professional		$587.74	$648.01	$6,984.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $7,897.75	Professional		$32.34	$32.34	$7,897.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,059.46 / $8,891.10 / $14,180.80	Professional		$6,059.46	$8,891.10	$14,180.80