Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.32 / $2,157.00 / $5,549.00	Facility		$772.32	$2,157.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.94 / $772.32 / $1,404.20	Professional		$638.94	$772.32	$1,404.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,763.26 / $10,202.07 / $18,059.66	Facility		$7,763.26	$10,202.07	$18,059.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $926.77 / $1,281.51 / $1,559.58	Professional		$926.77	$1,281.51	$1,559.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $9,800.24 / $10,111.00	Facility		$709.00	$9,800.24	$10,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.73 / $1,096.31 / $1,594.63	Professional		$744.73	$1,096.31	$1,594.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $862.53 / $1,270.46 / $4,645.18	Professional		$862.53	$1,270.46	$4,645.18
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 $894.15 / $965.85 / $1,075.60	Professional		$894.15	$965.85	$1,075.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,216.26	Professional		$32.34	$32.34	$1,216.26
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 $715.11 / $967.19 / $1,673.98	Professional		$715.11	$967.19	$1,673.98