Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.63 / $3,148.00 / $9,691.00	Facility		$671.63	$3,148.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.98 / $1,572.34 / $3,150.54	Professional		$338.98	$1,572.34	$3,150.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,532.09 / $7,548.09 / $11,054.68	Facility		$4,532.09	$7,548.09	$11,054.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.90 / $1,758.11 / $3,654.86	Professional		$432.90	$1,758.11	$3,654.86
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 $414.73 / $918.74 / $3,195.06	Professional		$414.73	$918.74	$3,195.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $466.67 / $2,327.31 / $5,344.70	Professional		$466.67	$2,327.31	$5,344.70
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 $387.86 / $443.50 / $2,255.15	Professional		$387.86	$443.50	$2,255.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,550.05	Professional		$32.34	$32.34	$2,550.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $7,400.00 / $14,716.00	Facility		$1,520.00	$7,400.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,105.83 / $3,047.04 / $5,066.63	Professional		$2,105.83	$3,047.04	$5,066.63