Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.66 / $1,835.00 / $5,091.00	Facility		$735.66	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.29 / $735.66 / $1,338.68	Professional		$608.29	$735.66	$1,338.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,394.77 / $10,202.07 / $17,202.43	Facility		$7,394.77	$10,202.07	$17,202.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.41 / $1,217.41 / $1,482.06	Professional		$880.41	$1,217.41	$1,482.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $8,679.18 / $9,689.27	Facility		$620.00	$8,679.18	$9,689.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.83 / $1,050.67 / $1,508.02	Professional		$731.83	$1,050.67	$1,508.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $819.61 / $1,218.30 / $3,397.41	Professional		$819.61	$1,218.30	$3,397.41
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 $849.36 / $917.84 / $1,021.80	Professional		$849.36	$917.84	$1,021.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,155.42	Professional		$32.34	$32.34	$1,155.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.76 / $933.22 / $1,595.05	Professional		$677.76	$933.22	$1,595.05