Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.35 / $2,118.00 / $5,405.00	Facility		$902.35	$2,118.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.69 / $902.35 / $1,393.34	Professional		$710.69	$902.35	$1,393.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.99 / $8,107.54 / $18,860.57	Facility		$3,908.99	$8,107.54	$18,860.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.53 / $1,197.33 / $1,286.57	Professional		$830.53	$1,197.33	$1,286.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $738.04 / $1,017.23 / $1,641.97	Professional		$738.04	$1,017.23	$1,641.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $731.39 / $1,149.32 / $2,145.77	Professional		$731.39	$1,149.32	$2,145.77
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 $837.81 / $864.37 / $954.47	Professional		$837.81	$864.37	$954.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,101.32	Professional		$32.34	$32.34	$1,101.32
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $769.84 / $1,033.55 / $1,788.43	Professional		$769.84	$1,033.55	$1,788.43