Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.40 / $738.40 / $1,509.47	Facility		$738.40	$738.40	$1,509.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.40 / $738.40 / $876.85	Professional		$738.40	$738.40	$876.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $658.24 / $5,011.92 / $10,931.64	Facility		$658.24	$5,011.92	$10,931.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,538.00 / $5,538.00 / $5,538.00	Professional		$5,538.00	$5,538.00	$5,538.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Facility		$784.55	$784.55	$784.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,098.59 / $1,326.01	Professional		$345.40	$1,098.59	$1,326.01
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $769.17 / $769.17 / $769.17	Facility		$769.17	$769.17	$769.17
United Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $861.47	Professional		$769.17	$769.17	$861.47