Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.06 / $2,800.00 / $5,580.00	Facility		$902.06	$2,800.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.86 / $1,007.14 / $1,424.50	Professional		$806.86	$1,007.14	$1,424.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,837.54 / $8,498.03 / $18,535.28	Facility		$4,837.54	$8,498.03	$18,535.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $917.51 / $1,300.35 / $1,421.80	Professional		$917.51	$1,300.35	$1,421.80
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 $692.13 / $1,048.48 / $1,556.34	Professional		$692.13	$1,048.48	$1,556.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $725.65 / $1,218.44 / $3,750.39	Professional		$725.65	$1,218.44	$3,750.39
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 $969.89 / $978.35 / $1,064.85	Professional		$969.89	$978.35	$1,064.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,204.10	Professional		$32.34	$32.34	$1,204.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.88 / $961.86 / $1,641.78	Professional		$715.88	$961.86	$1,641.78