Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.96 / $2,758.00 / $5,580.00	Facility		$843.96	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.63 / $843.96 / $1,602.09	Professional		$711.63	$843.96	$1,602.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,483.29 / $10,934.65 / $19,734.70	Facility		$8,483.29	$10,934.65	$19,734.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $980.62 / $1,355.97 / $1,651.25	Professional		$980.62	$1,355.97	$1,651.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $838.54 / $1,198.89 / $1,723.47	Professional		$838.54	$1,198.89	$1,723.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $919.23 / $1,376.60 / $4,042.12	Professional		$919.23	$1,376.60	$4,042.12
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 $987.62 / $1,022.62 / $1,138.09	Professional		$987.62	$1,022.62	$1,138.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,286.93	Professional		$32.34	$32.34	$1,286.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $766.55 / $1,052.01 / $1,747.99	Professional		$766.55	$1,052.01	$1,747.99