Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.38 / $2,758.00 / $5,580.00	Facility		$848.38	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.65 / $824.36 / $1,416.11	Professional		$718.65	$824.36	$1,416.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,527.70 / $10,991.89 / $19,838.02	Facility		$8,527.70	$10,991.89	$19,838.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $993.70 / $1,374.05 / $1,669.74	Professional		$993.70	$1,374.05	$1,669.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $8,658.56 / $9,666.24	Facility		$875.00	$8,658.56	$9,666.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.21 / $1,193.16 / $1,685.57	Professional		$835.21	$1,193.16	$1,685.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $931.50 / $1,369.34 / $3,574.89	Professional		$931.50	$1,369.34	$3,574.89
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 $985.66 / $1,034.07 / $1,153.28	Professional		$985.66	$1,034.07	$1,153.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,304.09	Professional		$32.34	$32.34	$1,304.09
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 $740.83 / $1,014.76 / $1,728.16	Professional		$740.83	$1,014.76	$1,728.16