Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.23 / $2,118.00 / $5,393.00	Facility		$760.23	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.48 / $721.21 / $1,382.16	Professional		$660.48	$721.21	$1,382.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,641.66 / $15,424.52 / $23,011.83	Facility		$7,641.66	$15,424.52	$23,011.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.21 / $1,259.99 / $1,533.52	Professional		$911.21	$1,259.99	$1,533.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $16,359.18 / $18,263.06	Facility		$709.00	$16,359.18	$18,263.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.60 / $1,138.90 / $1,571.52	Professional		$768.60	$1,138.90	$1,571.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $869.34 / $1,314.97 / $3,085.92	Professional		$869.34	$1,314.97	$3,085.92
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 $877.24 / $949.70 / $1,057.55	Professional		$877.24	$949.70	$1,057.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,195.84	Professional		$32.34	$32.34	$1,195.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,978.00 / $13,715.00	Facility		$2,100.00	$5,978.00	$13,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $699.41 / $1,029.04 / $1,648.70	Professional		$699.41	$1,029.04	$1,648.70