Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.24 / $2,118.00 / $5,393.00	Facility		$770.24	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.51 / $770.24 / $1,398.94	Professional		$636.51	$770.24	$1,398.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,742.31 / $10,202.07 / $18,010.93	Facility		$7,742.31	$10,202.07	$18,010.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $922.62 / $1,275.78 / $1,552.65	Professional		$922.62	$1,275.78	$1,552.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,831.39 / $7,626.43	Facility		$709.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.13 / $1,111.98 / $1,591.18	Professional		$754.13	$1,111.98	$1,591.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $872.23 / $1,264.82 / $4,391.64	Professional		$872.23	$1,264.82	$4,391.64
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 $888.55 / $961.56 / $1,070.80	Professional		$888.55	$961.56	$1,070.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,210.82	Professional		$32.34	$32.34	$1,210.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,957.42 / $11,479.00	Facility		$2,100.00	$5,957.42	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.47 / $991.67 / $1,667.50	Professional		$712.47	$991.67	$1,667.50