Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.00 / $3,073.00 / $7,723.00	Facility		$974.00	$3,073.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.84 / $960.47 / $2,036.44	Professional		$797.84	$960.47	$2,036.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.52 / $9,422.41 / $18,594.79	Facility		$3,981.52	$9,422.41	$18,594.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.92 / $1,195.19 / $1,612.50	Professional		$374.92	$1,195.19	$1,612.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $1,033.00 / $5,676.58	Facility		$659.00	$1,033.00	$5,676.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.81 / $1,274.96 / $1,891.25	Professional		$866.81	$1,274.96	$1,891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $992.00 / $1,526.16 / $5,559.35	Professional		$992.00	$1,526.16	$5,559.35
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 $1,090.51 / $1,167.06 / $1,294.02	Professional		$1,090.51	$1,167.06	$1,294.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,463.24	Professional		$32.34	$32.34	$1,463.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,820.00 / $12,241.00	Facility		$1,300.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $900.93 / $1,249.06 / $2,206.61	Professional		$900.93	$1,249.06	$2,206.61