Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.42 / $1,835.00 / $5,091.00	Facility		$768.42	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.39 / $768.42 / $1,397.63	Professional		$635.39	$768.42	$1,397.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,724.02 / $10,202.07 / $17,968.38	Facility		$7,724.02	$10,202.07	$17,968.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $921.52 / $1,274.26 / $1,550.67	Professional		$921.52	$1,274.26	$1,550.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $6,831.39 / $7,626.43	Facility		$620.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.77 / $1,138.05 / $1,588.95	Professional		$774.77	$1,138.05	$1,588.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $876.27 / $1,295.55 / $3,118.52	Professional		$876.27	$1,295.55	$3,118.52
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 $887.30 / $960.34 / $1,069.52	Professional		$887.30	$960.34	$1,069.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,209.38	Professional		$32.34	$32.34	$1,209.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.66 / $984.48 / $1,665.93	Professional		$713.66	$984.48	$1,665.93