Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,704.31 / $5,430.00	Facility		$755.00	$1,704.31	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.54 / $747.90 / $1,295.51	Professional		$621.54	$747.90	$1,295.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,564.33 / $9,763.28 / $19,550.96	Facility		$4,564.33	$9,763.28	$19,550.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $890.21 / $1,230.96 / $1,496.91	Professional		$890.21	$1,230.96	$1,496.91
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 $710.78 / $1,049.07 / $1,510.03	Professional		$710.78	$1,049.07	$1,510.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $805.63 / $1,216.41 / $2,908.44	Professional		$805.63	$1,216.41	$2,908.44
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 $866.11 / $927.03 / $1,033.18	Professional		$866.11	$927.03	$1,033.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,168.28	Professional		$32.34	$32.34	$1,168.28
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 $671.76 / $913.99 / $1,578.91	Professional		$671.76	$913.99	$1,578.91