Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.21 / $2,747.00 / $5,549.00	Facility		$957.21	$2,747.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.83 / $957.21 / $1,531.94	Professional		$803.83	$957.21	$1,531.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,236.52 / $9,062.08 / $18,146.81	Facility		$4,236.52	$9,062.08	$18,146.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $948.72 / $1,135.34 / $1,327.28	Professional		$948.72	$1,135.34	$1,327.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $850.23 / $1,197.64 / $1,742.20	Professional		$850.23	$1,197.64	$1,742.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $810.04 / $1,308.83 / $3,675.69	Professional		$810.04	$1,308.83	$3,675.69
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 $859.09 / $995.76 / $1,112.08	Professional		$859.09	$995.76	$1,112.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,257.51	Professional		$32.34	$32.34	$1,257.51
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $817.79 / $1,142.80 / $1,967.60	Professional		$817.79	$1,142.80	$1,967.60