Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.71 / $3,073.00 / $8,047.03	Facility		$777.71	$3,073.00	$8,047.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.05 / $1,220.08 / $4,673.02	Professional		$456.05	$1,220.08	$4,673.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,861.36 / $12,721.82 / $19,269.27	Facility		$5,861.36	$12,721.82	$19,269.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.12 / $2,236.55 / $5,520.97	Professional		$555.12	$2,236.55	$5,520.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $17,512.00 / $17,526.00	Facility		$875.00	$17,512.00	$17,526.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.88 / $1,167.27 / $4,734.01	Professional		$524.88	$1,167.27	$4,734.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $564.19 / $3,479.41 / $5,240.89	Professional		$564.19	$3,479.41	$5,240.89
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 $483.60 / $564.19 / $3,406.59	Professional		$483.60	$564.19	$3,406.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,852.06	Professional		$32.34	$32.34	$3,852.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $8,141.00 / $21,651.00	Facility		$2,276.00	$8,141.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,199.68 / $4,227.83 / $8,213.99	Professional		$3,199.68	$4,227.83	$8,213.99