Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.81 / $2,758.00 / $5,580.00	Facility		$843.81	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.27 / $843.81 / $1,539.18	Professional		$696.27	$843.81	$1,539.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,481.76 / $10,932.66 / $19,731.12	Facility		$8,481.76	$10,932.66	$19,731.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,009.09 / $1,395.34 / $1,699.04	Professional		$1,009.09	$1,395.34	$1,699.04
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 $848.46 / $1,214.08 / $1,746.20	Professional		$848.46	$1,214.08	$1,746.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $963.19 / $1,384.26 / $3,698.04	Professional		$963.19	$1,384.26	$3,698.04
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 $969.23 / $1,052.22 / $1,171.16	Professional		$969.23	$1,052.22	$1,171.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,324.31	Professional		$32.34	$32.34	$1,324.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,951.00 / $11,479.00	Facility		$2,100.00	$5,951.00	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $777.49 / $1,060.19 / $1,834.62	Professional		$777.49	$1,060.19	$1,834.62