Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.34 / $1,460.01 / $5,091.00	Facility		$103.34	$1,460.01	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $1,117.89 / $2,294.42	Professional		$57.42	$1,117.89	$2,294.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $507.15 / $1,123.80 / $1,645.69	Facility		$507.15	$1,123.80	$1,645.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $1,247.10 / $2,103.42	Professional		$49.14	$1,247.10	$2,103.42
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 $54.84 / $1,024.74 / $2,170.96	Professional		$54.84	$1,024.74	$2,170.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $1,658.16 / $3,222.54	Professional		$57.03	$1,658.16	$3,222.54
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 $52.78 / $53.76 / $1,620.29	Professional		$52.78	$53.76	$1,620.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,832.18	Professional		$32.34	$32.34	$1,832.18
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,588.00 / $5,026.00	Facility		$749.00	$2,588.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,303.80 / $1,791.56 / $2,895.57	Professional		$1,303.80	$1,791.56	$2,895.57