Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.70 / $1,835.00 / $5,091.00	Facility		$704.70	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.52 / $704.70 / $1,254.04	Professional		$585.52	$704.70	$1,254.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,083.56 / $10,053.12 / $16,478.49	Facility		$7,083.56	$10,053.12	$16,478.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.69 / $1,168.01 / $1,420.86	Professional		$844.69	$1,168.01	$1,420.86
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 $668.37 / $980.35 / $1,450.29	Professional		$668.37	$980.35	$1,450.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $763.18 / $1,157.46 / $2,819.71	Professional		$763.18	$1,157.46	$2,819.71
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 $823.91 / $879.94 / $980.34	Professional		$823.91	$879.94	$980.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,108.54	Professional		$32.34	$32.34	$1,108.54
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 $647.46 / $881.38 / $1,499.88	Professional		$647.46	$881.38	$1,499.88