Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.06 / $2,095.00 / $5,393.00	Facility		$722.06	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.17 / $722.06 / $1,307.84	Professional		$597.17	$722.06	$1,307.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,258.02 / $10,180.08 / $16,884.32	Facility		$7,258.02	$10,180.08	$16,884.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.24 / $1,193.66 / $1,453.21	Professional		$863.24	$1,193.66	$1,453.21
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 $706.05 / $1,028.45 / $1,485.63	Professional		$706.05	$1,028.45	$1,485.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $793.29 / $1,183.80 / $2,928.37	Professional		$793.29	$1,183.80	$2,928.37
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 $834.54 / $899.96 / $1,001.88	Professional		$834.54	$899.96	$1,001.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,132.90	Professional		$32.34	$32.34	$1,132.90
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 $649.29 / $903.41 / $1,558.14	Professional		$649.29	$903.41	$1,558.14