Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.46 / $2,118.00 / $5,393.00	Facility		$807.46	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.87 / $807.46 / $1,472.80	Professional		$666.87	$807.46	$1,472.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,116.41 / $10,540.80 / $18,881.20	Facility		$8,116.41	$10,540.80	$18,881.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $966.93 / $1,337.04 / $1,627.91	Professional		$966.93	$1,337.04	$1,627.91
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 $788.06 / $1,162.48 / $1,669.03	Professional		$788.06	$1,162.48	$1,669.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $906.41 / $1,326.12 / $3,281.51	Professional		$906.41	$1,326.12	$3,281.51
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 $929.86 / $1,008.16 / $1,122.23	Professional		$929.86	$1,008.16	$1,122.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,268.98	Professional		$32.34	$32.34	$1,268.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $744.68 / $1,014.64 / $1,755.39	Professional		$744.68	$1,014.64	$1,755.39