Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.51 / $1,970.00 / $5,665.00	Facility		$402.51	$1,970.00	$5,665.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.46 / $2,355.64 / $4,618.42	Professional		$214.46	$2,355.64	$4,618.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,341.78 / $5,371.66 / $10,051.54	Facility		$2,341.78	$5,371.66	$10,051.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.44 / $1,220.14 / $4,434.68	Professional		$290.44	$1,220.14	$4,434.68
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 $285.23 / $2,048.73 / $4,888.97	Professional		$285.23	$2,048.73	$4,888.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $343.32 / $3,613.32 / $11,807.65	Professional		$343.32	$3,613.32	$11,807.65
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 $284.51 / $307.80 / $3,435.64	Professional		$284.51	$307.80	$3,435.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,964.20	Professional		$32.34	$32.34	$3,964.20
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 $3,357.33 / $4,906.64 / $7,428.75	Professional		$3,357.33	$4,906.64	$7,428.75