Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.63 / $1,825.15 / $5,430.00	Facility		$794.63	$1,825.15	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.50 / $794.63 / $1,450.59	Professional		$656.50	$794.63	$1,450.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,849.54 / $10,373.36 / $20,772.65	Facility		$4,849.54	$10,373.36	$20,772.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $952.19 / $1,316.66 / $1,509.04	Professional		$952.19	$1,316.66	$1,509.04
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 $796.22 / $1,147.61 / $1,638.35	Professional		$796.22	$1,147.61	$1,638.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $892.59 / $1,305.85 / $3,230.80	Professional		$892.59	$1,305.85	$3,230.80
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 $914.89 / $992.76 / $1,105.11	Professional		$914.89	$992.76	$1,105.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,249.63	Professional		$32.34	$32.34	$1,249.63
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 $726.26 / $998.88 / $1,728.00	Professional		$726.26	$998.88	$1,728.00