Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.92 / $2,118.00 / $5,393.00	Facility		$791.92	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.13 / $791.92 / $1,441.75	Professional		$654.13	$791.92	$1,441.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,960.19 / $10,337.92 / $18,517.79	Facility		$7,960.19	$10,337.92	$18,517.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $946.40 / $1,308.65 / $1,593.73	Professional		$946.40	$1,308.65	$1,593.73
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 $800.02 / $1,182.88 / $1,670.48	Professional		$800.02	$1,182.88	$1,670.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $903.48 / $1,366.61 / $3,649.14	Professional		$903.48	$1,366.61	$3,649.14
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 $911.51 / $987.00 / $1,098.40	Professional		$911.51	$987.00	$1,098.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,242.03	Professional		$32.34	$32.34	$1,242.03
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 $752.76 / $1,079.97 / $1,759.05	Professional		$752.76	$1,079.97	$1,759.05