Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.09 / $1,972.00 / $5,389.00	Facility		$810.09	$1,972.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.31 / $810.09 / $1,476.52	Professional		$669.31	$810.09	$1,476.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,142.84 / $10,575.12 / $18,942.68	Facility		$8,142.84	$10,575.12	$18,942.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $970.31 / $1,341.72 / $1,633.43	Professional		$970.31	$1,341.72	$1,633.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $9,969.99 / $11,130.30	Facility		$709.00	$9,969.99	$11,130.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.86 / $1,146.80 / $1,674.18	Professional		$701.86	$1,146.80	$1,674.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $855.95 / $1,325.38 / $3,491.58	Professional		$855.95	$1,325.38	$3,491.58
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 $934.05 / $1,011.58 / $1,126.14	Professional		$934.05	$1,011.58	$1,126.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,273.40	Professional		$32.34	$32.34	$1,273.40
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 $748.99 / $1,010.76 / $1,758.15	Professional		$748.99	$1,010.76	$1,758.15