Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.41 / $1,835.00 / $5,091.00	Facility		$777.41	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.40 / $777.41 / $1,413.33	Professional		$643.40	$777.41	$1,413.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,814.39 / $10,202.07 / $18,178.59	Facility		$7,814.39	$10,202.07	$18,178.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.79 / $1,291.22 / $1,571.11	Professional		$933.79	$1,291.22	$1,571.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $9,148.94 / $10,213.69	Facility		$620.00	$9,148.94	$10,213.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.47 / $1,083.76 / $1,595.47	Professional		$664.47	$1,083.76	$1,595.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $785.87 / $1,250.49 / $3,156.55	Professional		$785.87	$1,250.49	$3,156.55
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 $901.16 / $972.99 / $1,083.76	Professional		$901.16	$972.99	$1,083.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,225.48	Professional		$32.34	$32.34	$1,225.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.10 / $941.92 / $1,684.84	Professional		$677.10	$941.92	$1,684.84