Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.73 / $1,745.66 / $5,389.00	Facility		$740.73	$1,745.66	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.40 / $740.73 / $1,334.89	Professional		$633.40	$740.73	$1,334.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,271.07 / $9,442.95 / $16,914.70	Facility		$7,271.07	$9,442.95	$16,914.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $935.68 / $1,212.40 / $1,396.83	Professional		$935.68	$1,212.40	$1,396.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $6,011.78 / $6,711.43	Facility		$620.00	$6,011.78	$6,711.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.61 / $1,080.69 / $1,590.61	Professional		$703.61	$1,080.69	$1,590.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $847.46 / $1,248.98 / $3,009.02	Professional		$847.46	$1,248.98	$3,009.02
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 $887.43 / $949.52 / $1,049.23	Professional		$887.43	$949.52	$1,049.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,186.44	Professional		$32.34	$32.34	$1,186.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $710.92 / $992.60 / $1,653.12	Professional		$710.92	$992.60	$1,653.12