Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $2,989.00 / $7,407.00	Facility		$229.63	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.27 / $229.63 / $580.00	Professional		$143.27	$229.63	$580.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,912.04 / $8,368.00 / $16,756.91	Facility		$3,912.04	$8,368.00	$16,756.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,046.00 / $1,046.00 / $1,046.00	Professional		$1,046.00	$1,046.00	$1,046.00
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 $238.15 / $323.18 / $434.52	Professional		$238.15	$323.18	$434.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $315.19 / $489.98 / $2,013.87	Professional		$315.19	$489.98	$2,013.87
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 $372.50 / $372.50 / $372.50	Professional		$372.50	$372.50	$372.50
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 $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.75 / $309.33 / $601.44	Professional		$195.75	$309.33	$601.44