Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.91 / $2,118.00 / $5,393.00	Facility		$854.91	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.77 / $805.61 / $1,448.70	Professional		$685.77	$805.61	$1,448.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $9,165.34 / $19,990.77	Facility		$4,295.45	$9,165.34	$19,990.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,002.13 / $1,385.71 / $1,683.74	Professional		$1,002.13	$1,385.71	$1,683.74
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 $842.21 / $1,203.16 / $1,699.87	Professional		$842.21	$1,203.16	$1,699.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $939.40 / $1,371.61 / $3,248.91	Professional		$939.40	$1,371.61	$3,248.91
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 $993.12 / $1,042.74 / $1,163.07	Professional		$993.12	$1,042.74	$1,163.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,315.16	Professional		$32.34	$32.34	$1,315.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,803.00 / $8,995.00	Facility		$1,600.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.48 / $1,018.20 / $1,739.84	Professional		$756.48	$1,018.20	$1,739.84