Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.19 / $1,835.00 / $5,091.00	Facility		$728.19	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.54 / $728.19 / $1,322.69	Professional		$593.54	$728.19	$1,322.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $7,806.80 / $17,027.62	Facility		$4,295.45	$7,806.80	$17,027.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.61 / $1,205.24 / $1,467.02	Professional		$871.61	$1,205.24	$1,467.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.81 / $1,054.90 / $1,468.26	Professional		$733.81	$1,054.90	$1,468.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $823.72 / $1,223.02 / $3,710.71	Professional		$823.72	$1,223.02	$3,710.71
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 $840.79 / $908.53 / $1,011.60	Professional		$840.79	$908.53	$1,011.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,143.88	Professional		$32.34	$32.34	$1,143.88
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 $654.66 / $906.89 / $1,577.69	Professional		$654.66	$906.89	$1,577.69