Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.24 / $2,235.00 / $5,549.00	Facility		$834.24	$2,235.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.05 / $834.24 / $1,450.46	Professional		$741.05	$834.24	$1,450.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,134.57 / $8,462.85 / $19,687.12	Facility		$4,134.57	$8,462.85	$19,687.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $936.06 / $1,395.31 / $1,541.21	Professional		$936.06	$1,395.31	$1,541.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.01 / $1,087.84 / $1,553.77	Professional		$805.01	$1,087.84	$1,553.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $797.75 / $1,261.59 / $4,193.95	Professional		$797.75	$1,261.59	$4,193.95
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 $886.54 / $942.80 / $1,025.05	Professional		$886.54	$942.80	$1,025.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,182.75	Professional		$32.34	$32.34	$1,182.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.62 / $1,055.86 / $1,680.23	Professional		$780.62	$1,055.86	$1,680.23