Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.34 / $2,318.71 / $10,073.00	Facility		$913.34	$2,318.71	$10,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.08 / $913.34 / $1,543.79	Professional		$800.08	$913.34	$1,543.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,467.17 / $9,265.25 / $21,553.75	Facility		$4,467.17	$9,265.25	$21,553.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.00 / $1,362.26 / $1,687.01	Professional		$871.00	$1,362.26	$1,687.01
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 $881.17 / $1,190.77 / $1,697.97	Professional		$881.17	$1,190.77	$1,697.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $873.24 / $1,381.07 / $3,526.00	Professional		$873.24	$1,381.07	$3,526.00
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 $970.53 / $1,032.01 / $1,122.11	Professional		$970.53	$1,032.01	$1,122.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,294.76	Professional		$32.34	$32.34	$1,294.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $867.57 / $1,237.84 / $2,253.67	Professional		$867.57	$1,237.84	$2,253.67