Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.95 / $1,835.00 / $5,091.00	Facility		$770.95	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.71 / $777.39 / $1,406.08	Professional		$705.71	$777.39	$1,406.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,770.47 / $3,950.59 / $14,925.66	Facility		$1,770.47	$3,950.59	$14,925.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.95 / $1,027.36 / $1,395.27	Professional		$859.95	$1,027.36	$1,395.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $750.00 / $1,300.00	Facility		$400.00	$750.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.91 / $1,027.51 / $1,603.88	Professional		$635.91	$1,027.51	$1,603.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $747.10 / $1,209.58 / $3,315.64	Professional		$747.10	$1,209.58	$3,315.64
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 $899.46 / $924.98 / $1,021.80	Professional		$899.46	$924.98	$1,021.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,155.42	Professional		$32.34	$32.34	$1,155.42
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $727.85 / $987.96 / $1,666.41	Professional		$727.85	$987.96	$1,666.41