Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.44 / $2,157.00 / $5,549.00	Facility		$775.44	$2,157.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.88 / $775.44 / $1,520.11	Professional		$665.88	$775.44	$1,520.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,794.55 / $10,202.07 / $18,132.46	Facility		$7,794.55	$10,202.07	$18,132.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.44 / $1,286.58 / $1,565.78	Professional		$930.44	$1,286.58	$1,565.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $9,229.10 / $10,111.00	Facility		$709.00	$9,229.10	$10,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.94 / $1,100.60 / $1,602.00	Professional		$748.94	$1,100.60	$1,602.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $828.56 / $1,270.91 / $4,299.29	Professional		$828.56	$1,270.91	$4,299.29
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 $897.61 / $969.68 / $1,079.85	Professional		$897.61	$969.68	$1,079.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,221.07	Professional		$32.34	$32.34	$1,221.07
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 $716.32 / $957.01 / $1,681.01	Professional		$716.32	$957.01	$1,681.01