Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.24 / $2,095.00 / $5,393.00	Facility		$715.24	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.82 / $715.24 / $1,295.83	Professional		$591.82	$715.24	$1,295.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,189.45 / $10,083.91 / $16,724.82	Facility		$7,189.45	$10,083.91	$16,724.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $856.64 / $1,184.53 / $1,670.67	Professional		$856.64	$1,184.53	$1,670.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $8,615.54 / $9,618.20	Facility		$709.00	$8,615.54	$9,618.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.03 / $1,032.45 / $1,482.36	Professional		$716.03	$1,032.45	$1,482.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $803.02 / $1,174.48 / $3,716.15	Professional		$803.02	$1,174.48	$3,716.15
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 $827.78 / $892.88 / $994.21	Professional		$827.78	$892.88	$994.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,124.23	Professional		$32.34	$32.34	$1,124.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $665.10 / $904.50 / $1,542.21	Professional		$665.10	$904.50	$1,542.21