Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.78 / $2,118.00 / $5,393.00	Facility		$802.78	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.89 / $802.78 / $1,462.24	Professional		$662.89	$802.78	$1,462.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,069.41 / $10,479.76 / $18,771.87	Facility		$8,069.41	$10,479.76	$18,771.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.06 / $1,328.93 / $1,523.09	Professional		$961.06	$1,328.93	$1,523.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,831.39 / $7,626.43	Facility		$709.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.41 / $1,158.31 / $1,657.24	Professional		$788.41	$1,158.31	$1,657.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $905.94 / $1,317.86 / $3,257.97	Professional		$905.94	$1,317.86	$3,257.97
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 $923.94 / $1,001.88 / $1,115.41	Professional		$923.94	$1,001.88	$1,115.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,261.27	Professional		$32.34	$32.34	$1,261.27
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 $744.15 / $1,008.59 / $1,742.84	Professional		$744.15	$1,008.59	$1,742.84