Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.28 / $2,079.00 / $5,091.00	Facility		$596.28	$2,079.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.14 / $1,533.44 / $2,444.48	Professional		$383.14	$1,533.44	$2,444.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,802.23 / $5,694.37 / $10,736.89	Facility		$2,802.23	$5,694.37	$10,736.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.00 / $1,663.34 / $3,422.81	Professional		$464.00	$1,663.34	$3,422.81
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 $441.38 / $1,348.50 / $2,859.52	Professional		$441.38	$1,348.50	$2,859.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $516.14 / $2,204.55 / $9,056.76	Professional		$516.14	$2,204.55	$9,056.76
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 $457.24 / $479.27 / $2,088.41	Professional		$457.24	$479.27	$2,088.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,409.71	Professional		$32.34	$32.34	$2,409.71
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,836.19 / $2,628.65 / $3,806.71	Professional		$1,836.19	$2,628.65	$3,806.71