Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,368.00 / $5,549.00	Facility		$711.00	$2,368.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $567.71 / $951.56	Professional		$412.89	$567.71	$951.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,566.07 / $15,616.83 / $19,209.56	Facility		$13,566.07	$15,616.83	$19,209.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,800.35 / $1,800.35 / $2,463.63	Professional		$1,800.35	$1,800.35	$2,463.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.17 / $1,230.00 / $1,900.00	Facility		$649.17	$1,230.00	$1,900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.00 / $950.50 / $1,343.32	Professional		$560.00	$950.50	$1,343.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,515.67 / $2,416.25 / $4,033.05	Professional		$1,515.67	$2,416.25	$4,033.05
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 $1,791.24 / $1,821.94 / $2,053.03	Professional		$1,791.24	$1,821.94	$2,053.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
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 $482.00 / $1,473.88 / $2,895.01	Professional		$482.00	$1,473.88	$2,895.01