Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.84 / $2,118.00 / $5,393.00	Facility		$785.84	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.84 / $785.84 / $1,432.51	Professional		$649.84	$785.84	$1,432.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $8,424.90 / $18,375.78	Facility		$4,295.45	$8,424.90	$18,375.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.33 / $1,301.64 / $1,585.06	Professional		$941.33	$1,301.64	$1,585.06
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 $795.47 / $1,176.55 / $1,660.25	Professional		$795.47	$1,176.55	$1,660.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $898.94 / $1,354.85 / $3,562.21	Professional		$898.94	$1,354.85	$3,562.21
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 $907.60 / $981.63 / $1,092.51	Professional		$907.60	$981.63	$1,092.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,235.36	Professional		$32.34	$32.34	$1,235.36
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 $735.91 / $1,020.96 / $1,706.72	Professional		$735.91	$1,020.96	$1,706.72