Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,694.18 / $5,430.00	Facility		$755.00	$1,694.18	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.77 / $733.87 / $1,315.57	Professional		$608.77	$733.87	$1,315.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,478.68 / $9,580.08 / $19,184.11	Facility		$4,478.68	$9,580.08	$19,184.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $882.81 / $1,220.73 / $1,488.00	Professional		$882.81	$1,220.73	$1,488.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.31 / $1,064.00 / $1,544.34	Professional		$744.31	$1,064.00	$1,544.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $848.54 / $1,240.51 / $2,959.15	Professional		$848.54	$1,240.51	$2,959.15
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 $858.18 / $921.52 / $1,024.59	Professional		$858.18	$921.52	$1,024.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,158.58	Professional		$32.34	$32.34	$1,158.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.16 / $959.93 / $1,575.74	Professional		$677.16	$959.93	$1,575.74