Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,835.00 / $5,389.00	Facility		$600.00	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $1,000.00 / $2,865.82	Professional		$54.54	$1,000.00	$2,865.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.40 / $1,653.97 / $5,523.07	Facility		$746.40	$1,653.97	$5,523.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $428.48 / $8,283.90	Professional		$106.31	$428.48	$8,283.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,288.87 / $2,288.87 / $2,288.87	Professional		$2,288.87	$2,288.87	$2,288.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.84 / $3,180.30 / $5,141.02	Professional		$114.84	$3,180.30	$5,141.02
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 $113.37 / $117.20 / $3,741.53	Professional		$113.37	$117.20	$3,741.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $8,433.45	Professional		$32.34	$32.34	$8,433.45
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,705.47 / $2,577.46 / $4,143.79	Professional		$1,705.47	$2,577.46	$4,143.79