Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.93 / $2,118.00 / $5,393.00	Facility		$793.93	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.91 / $793.93 / $1,447.29	Professional		$689.91	$793.93	$1,447.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $8,511.62 / $18,564.93	Facility		$4,295.45	$8,511.62	$18,564.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.13 / $1,319.34 / $1,607.69	Professional		$954.13	$1,319.34	$1,607.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.34 / $1,124.40 / $1,642.92	Professional		$776.34	$1,124.40	$1,642.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $894.41 / $1,309.65 / $3,334.03	Professional		$894.41	$1,309.65	$3,334.03
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 $920.82 / $995.64 / $1,107.36	Professional		$920.82	$995.64	$1,107.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,252.18	Professional		$32.34	$32.34	$1,252.18
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 $733.09 / $1,017.54 / $1,733.92	Professional		$733.09	$1,017.54	$1,733.92