Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.10 / $1,620.56 / $5,405.00	Facility		$768.10	$1,620.56	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.90 / $768.10 / $1,328.71	Professional		$624.90	$768.10	$1,328.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,687.00 / $8,041.54 / $17,539.63	Facility		$2,687.00	$8,041.54	$17,539.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $963.60 / $1,248.57 / $1,434.34	Professional		$963.60	$1,248.57	$1,434.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,799.73 / $2,009.18	Facility		$875.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.33 / $1,115.66 / $1,579.24	Professional		$728.33	$1,115.66	$1,579.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $867.17 / $1,275.03 / $3,367.58	Professional		$867.17	$1,275.03	$3,367.58
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 $908.69 / $975.03 / $1,080.53	Professional		$908.69	$975.03	$1,080.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,221.83	Professional		$32.34	$32.34	$1,221.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,715.00 / $6,514.00	Facility		$1,600.00	$3,715.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $695.94 / $1,007.20 / $1,612.63	Professional		$695.94	$1,007.20	$1,612.63