Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.00 / $1,552.63 / $5,091.00	Facility		$762.00	$1,552.63	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.54 / $821.59 / $1,571.74	Professional		$670.54	$821.59	$1,571.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,020.64 / $10,739.36 / $21,505.56	Facility		$5,020.64	$10,739.36	$21,505.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.69 / $1,351.92 / $1,649.65	Professional		$977.69	$1,351.92	$1,649.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.38 / $1,178.80 / $1,755.64	Professional		$827.38	$1,178.80	$1,755.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $919.19 / $1,375.27 / $4,159.93	Professional		$919.19	$1,375.27	$4,159.93
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 $911.79 / $1,021.63 / $1,134.72	Professional		$911.79	$1,021.63	$1,134.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,283.09	Professional		$32.34	$32.34	$1,283.09
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 $803.30 / $1,119.31 / $1,846.54	Professional		$803.30	$1,119.31	$1,846.54