Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,731.05 / $5,430.00	Facility		$755.00	$1,731.05	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.08 / $754.19 / $1,370.54	Professional		$623.08	$754.19	$1,370.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,602.74 / $9,845.44 / $19,715.49	Facility		$4,602.74	$9,845.44	$19,715.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $903.43 / $1,249.24 / $1,520.39	Professional		$903.43	$1,249.24	$1,520.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.80 / $1,086.44 / $1,554.12	Professional		$752.80	$1,086.44	$1,554.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $846.89 / $1,238.54 / $3,060.57	Professional		$846.89	$1,238.54	$3,060.57
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 $868.75 / $941.58 / $1,048.53	Professional		$868.75	$941.58	$1,048.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,185.64	Professional		$32.34	$32.34	$1,185.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $693.84 / $945.04 / $1,636.32	Professional		$693.84	$945.04	$1,636.32