Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.08 / $1,609.00 / $7,407.00	Facility		$896.08	$1,609.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.59 / $983.93 / $1,631.23	Professional		$729.59	$983.93	$1,631.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,138.27 / $8,441.66 / $18,412.33	Facility		$3,138.27	$8,441.66	$18,412.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.79 / $1,415.07 / $1,544.92	Professional		$915.79	$1,415.07	$1,544.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $11,558.00 / $13,383.00	Facility		$875.00	$11,558.00	$13,383.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $1,171.61 / $1,653.80	Professional		$808.12	$1,171.61	$1,653.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $743.78 / $1,285.91 / $3,196.39	Professional		$743.78	$1,285.91	$3,196.39
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 $966.91 / $977.56 / $1,158.79	Professional		$966.91	$977.56	$1,158.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,310.33	Professional		$32.34	$32.34	$1,310.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $3,951.00 / $6,625.00	Facility		$1,165.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.99 / $1,075.55 / $1,849.23	Professional		$808.99	$1,075.55	$1,849.23