Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.00 / $1,988.00 / $5,405.00	Facility		$383.00	$1,988.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.77 / $1,433.68 / $4,095.38	Professional		$153.77	$1,433.68	$4,095.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,681.31 / $3,856.64 / $10,051.54	Facility		$1,681.31	$3,856.64	$10,051.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.60 / $871.97 / $4,272.37	Professional		$207.60	$871.97	$4,272.37
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 $213.14 / $1,979.06 / $4,739.68	Professional		$213.14	$1,979.06	$4,739.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.34 / $3,481.07 / $11,389.31	Professional		$245.34	$3,481.07	$11,389.31
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 $203.91 / $219.96 / $3,311.97	Professional		$203.91	$219.96	$3,311.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,821.51	Professional		$32.34	$32.34	$3,821.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,255.26 / $4,769.89 / $7,547.86	Professional		$3,255.26	$4,769.89	$7,547.86