Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.83 / $2,118.00 / $5,393.00	Facility		$809.83	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.58 / $809.83 / $1,368.51	Professional		$691.58	$809.83	$1,368.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $8,682.04 / $18,936.66	Facility		$4,295.45	$8,682.04	$18,936.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $944.14 / $1,305.53 / $1,585.63	Professional		$944.14	$1,305.53	$1,585.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.14 / $1,133.05 / $1,601.51	Professional		$793.14	$1,133.05	$1,601.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $885.05 / $1,320.25 / $3,105.84	Professional		$885.05	$1,320.25	$3,105.84
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 $943.61 / $981.98 / $1,095.77	Professional		$943.61	$981.98	$1,095.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,248.71	Professional		$32.34	$32.34	$1,248.71
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 $714.64 / $982.35 / $1,673.43	Professional		$714.64	$982.35	$1,673.43