Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.88 / $2,235.00 / $5,393.00	Facility		$628.88	$2,235.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.68 / $864.86 / $2,197.25	Professional		$343.68	$864.86	$2,197.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,709.77 / $5,282.44 / $10,382.65	Facility		$2,709.77	$5,282.44	$10,382.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.71 / $1,292.39 / $2,968.88	Professional		$425.71	$1,292.39	$2,968.88
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 $380.44 / $804.82 / $2,423.25	Professional		$380.44	$804.82	$2,423.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $444.91 / $1,883.36 / $3,398.05	Professional		$444.91	$1,883.36	$3,398.05
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 $378.25 / $428.82 / $1,831.88	Professional		$378.25	$428.82	$1,831.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,071.44	Professional		$32.34	$32.34	$2,071.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.32 / $1,847.65 / $3,674.71	Professional		$1,388.32	$1,847.65	$3,674.71