Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.58 / $2,118.00 / $5,405.00	Facility		$796.58	$2,118.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.63 / $796.58 / $1,340.58	Professional		$677.63	$796.58	$1,340.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,007.07 / $10,398.79 / $18,626.84	Facility		$8,007.07	$10,398.79	$18,626.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $931.25 / $1,287.70 / $1,564.74	Professional		$931.25	$1,287.70	$1,564.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $8,658.56 / $9,666.24	Facility		$709.00	$8,658.56	$9,666.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $782.69 / $1,118.13 / $1,579.64	Professional		$782.69	$1,118.13	$1,579.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $872.96 / $1,274.67 / $3,033.40	Professional		$872.96	$1,274.67	$3,033.40
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 $925.95 / $969.05 / $1,080.81	Professional		$925.95	$969.05	$1,080.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,222.14	Professional		$32.34	$32.34	$1,222.14
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 $701.50 / $936.28 / $1,646.78	Professional		$701.50	$936.28	$1,646.78