Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.35 / $1,833.27 / $5,430.00	Facility		$791.35	$1,833.27	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.88 / $791.35 / $1,304.00	Professional		$601.88	$791.35	$1,304.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,716.25 / $10,088.24 / $20,201.70	Facility		$4,716.25	$10,088.24	$20,201.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $989.35 / $1,281.93 / $1,466.94	Professional		$989.35	$1,281.93	$1,466.94
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 $705.70 / $1,109.40 / $1,498.74	Professional		$705.70	$1,109.40	$1,498.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $839.87 / $1,284.77 / $2,915.32	Professional		$839.87	$1,284.77	$2,915.32
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 $914.24 / $997.18 / $1,109.39	Professional		$914.24	$997.18	$1,109.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,254.47	Professional		$32.34	$32.34	$1,254.47
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,800.00 / $7,384.00	Facility		$800.00	$2,800.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $683.61 / $992.93 / $1,751.04	Professional		$683.61	$992.93	$1,751.04