Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.90 / $2,118.00 / $5,389.00	Facility		$580.90	$2,118.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.31 / $1,102.03 / $2,405.80	Professional		$327.31	$1,102.03	$2,405.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,350.51 / $4,776.43 / $9,006.11	Facility		$2,350.51	$4,776.43	$9,006.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.34 / $1,503.82 / $3,139.27	Professional		$367.34	$1,503.82	$3,139.27
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 $351.93 / $715.59 / $2,652.22	Professional		$351.93	$715.59	$2,652.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $379.35 / $2,002.40 / $4,457.21	Professional		$379.35	$2,002.40	$4,457.21
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 $338.99 / $379.35 / $1,937.01	Professional		$338.99	$379.35	$1,937.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,190.31	Professional		$32.34	$32.34	$2,190.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,564.25 / $2,270.32 / $3,964.73	Professional		$1,564.25	$2,270.32	$3,964.73