Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.96 / $2,989.00 / $9,446.00	Facility		$536.96	$2,989.00	$9,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.74 / $1,285.36 / $2,543.21	Professional		$305.74	$1,285.36	$2,543.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,626.02 / $4,673.80 / $8,435.20	Facility		$3,626.02	$4,673.80	$8,435.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.56 / $1,221.16 / $2,927.98	Professional		$347.56	$1,221.16	$2,927.98
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 $332.97 / $669.84 / $3,010.64	Professional		$332.97	$669.84	$3,010.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.24 / $1,876.14 / $4,101.01	Professional		$363.24	$1,876.14	$4,101.01
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 $317.27 / $357.07 / $1,806.65	Professional		$317.27	$357.07	$1,806.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,042.90	Professional		$32.34	$32.34	$2,042.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,981.00	Facility		$1,690.00	$5,000.00	$8,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,657.16 / $2,518.66 / $3,968.97	Professional		$1,657.16	$2,518.66	$3,968.97