Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.84 / $3,073.00 / $7,125.00	Facility		$944.84	$3,073.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.01 / $1,074.01 / $1,555.61	Professional		$849.01	$1,074.01	$1,555.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,066.95 / $8,901.03 / $19,414.28	Facility		$5,066.95	$8,901.03	$19,414.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $965.69 / $1,368.65 / $1,501.87	Professional		$965.69	$1,368.65	$1,501.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.78 / $1,146.65 / $1,638.07	Professional		$798.78	$1,146.65	$1,638.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $766.92 / $1,282.43 / $3,740.83	Professional		$766.92	$1,282.43	$3,740.83
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 $1,018.51 / $1,033.45 / $1,120.78	Professional		$1,018.51	$1,033.45	$1,120.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,267.34	Professional		$32.34	$32.34	$1,267.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.89 / $1,015.68 / $1,845.56	Professional		$784.89	$1,015.68	$1,845.56