Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.91 / $1,842.00 / $5,389.00	Facility		$629.91	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.26 / $466.61 / $2,850.95	Professional		$179.26	$466.61	$2,850.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,117.69 / $6,908.53 / $11,151.31	Facility		$3,117.69	$6,908.53	$11,151.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.39 / $1,056.89 / $3,516.98	Professional		$396.39	$1,056.89	$3,516.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $11,389.20 / $12,714.67	Facility		$875.00	$11,389.20	$12,714.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.38 / $507.69 / $3,199.62	Professional		$191.38	$507.69	$3,199.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $287.64 / $2,454.87 / $3,678.04	Professional		$287.64	$2,454.87	$3,678.04
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 $388.61 / $409.96 / $2,666.35	Professional		$388.61	$409.96	$2,666.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,076.56	Professional		$32.34	$32.34	$3,076.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.92 / $1,914.22 / $3,843.54	Professional		$221.92	$1,914.22	$3,843.54