Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.65 / $2,784.00 / $7,123.00	Facility		$863.65	$2,784.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.84 / $863.65 / $1,561.98	Professional		$752.84	$863.65	$1,561.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,209.30 / $8,701.67 / $20,242.70	Facility		$4,209.30	$8,701.67	$20,242.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $959.09 / $1,420.07 / $1,676.38	Professional		$959.09	$1,420.07	$1,676.38
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 $897.45 / $1,254.02 / $1,819.32	Professional		$897.45	$1,254.02	$1,819.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $928.08 / $1,448.89 / $3,817.40	Professional		$928.08	$1,448.89	$3,817.40
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 $1,004.63 / $1,096.82 / $1,207.57	Professional		$1,004.63	$1,096.82	$1,207.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,393.35	Professional		$32.34	$32.34	$1,393.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $3,733.00 / $6,625.00	Facility		$1,165.00	$3,733.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $901.16 / $1,255.89 / $1,999.23	Professional		$901.16	$1,255.89	$1,999.23