Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.77 / $2,095.00 / $5,393.00	Facility		$738.77	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.84 / $738.77 / $1,342.16	Professional		$610.84	$738.77	$1,342.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,426.00 / $10,202.07 / $17,275.09	Facility		$7,426.00	$10,202.07	$17,275.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.08 / $1,222.48 / $1,488.25	Professional		$884.08	$1,222.48	$1,488.25
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 $715.66 / $1,050.75 / $1,527.17	Professional		$715.66	$1,050.75	$1,527.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $828.74 / $1,212.35 / $2,998.99	Professional		$828.74	$1,212.35	$2,998.99
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 $852.80 / $921.67 / $1,026.06	Professional		$852.80	$921.67	$1,026.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,160.24	Professional		$32.34	$32.34	$1,160.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,055.00 / $14,468.00	Facility		$2,600.00	$7,055.00	$14,468.00
United Facility/Professional Professional Modifier Low / Median / High Price $679.73 / $925.66 / $1,599.93	Professional		$679.73	$925.66	$1,599.93