Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.65 / $2,232.69 / $5,393.00	Facility		$621.65	$2,232.69	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.72 / $986.84 / $2,005.98	Professional		$362.72	$986.84	$2,005.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,407.47 / $7,209.60 / $10,481.11	Facility		$4,407.47	$7,209.60	$10,481.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.58 / $1,151.63 / $2,372.19	Professional		$421.58	$1,151.63	$2,372.19
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 $383.27 / $797.55 / $2,004.16	Professional		$383.27	$797.55	$2,004.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $440.60 / $1,520.01 / $3,295.60	Professional		$440.60	$1,520.01	$3,295.60
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 $374.36 / $424.53 / $1,463.71	Professional		$374.36	$424.53	$1,463.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,655.12	Professional		$32.34	$32.34	$1,655.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.13 / $1,625.10 / $3,131.14	Professional		$1,224.13	$1,625.10	$3,131.14