Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.97 / $2,352.00 / $9,486.61	Facility		$862.97	$2,352.00	$9,486.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.20 / $862.97 / $1,503.09	Professional		$742.20	$862.97	$1,503.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,315.10 / $9,379.70 / $20,365.07	Facility		$5,315.10	$9,379.70	$20,365.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $972.29 / $1,449.33 / $1,605.76	Professional		$972.29	$1,449.33	$1,605.76
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 $767.77 / $1,105.68 / $1,604.47	Professional		$767.77	$1,105.68	$1,604.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.17 / $1,310.43 / $3,008.58	Professional		$831.17	$1,310.43	$3,008.58
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 $936.53 / $982.29 / $1,064.73	Professional		$936.53	$982.29	$1,064.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,228.53	Professional		$32.34	$32.34	$1,228.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $6,650.00 / $12,442.00	Facility		$2,100.00	$6,650.00	$12,442.00
United Facility/Professional Professional Modifier Low / Median / High Price $801.19 / $1,147.27 / $1,711.53	Professional		$801.19	$1,147.27	$1,711.53