Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.24 / $2,933.00 / $5,549.00	Facility		$800.24	$2,933.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.26 / $2,005.72 / $3,746.08	Professional		$437.26	$2,005.72	$3,746.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,313.60 / $5,745.10 / $10,034.71	Facility		$4,313.60	$5,745.10	$10,034.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.75 / $1,728.21 / $3,429.28	Professional		$502.75	$1,728.21	$3,429.28
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 $463.85 / $1,703.93 / $3,491.39	Professional		$463.85	$1,703.93	$3,491.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $515.19 / $2,700.07 / $12,522.99	Professional		$515.19	$2,700.07	$12,522.99
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 $530.83 / $535.79 / $2,629.41	Professional		$530.83	$535.79	$2,629.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,973.25	Professional		$32.34	$32.34	$2,973.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $5,951.00 / $12,241.00	Facility		$1,400.00	$5,951.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,163.75 / $2,921.09 / $4,919.93	Professional		$2,163.75	$2,921.09	$4,919.93