Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,747.00 / $7,780.00	Facility		$813.00	$2,747.00	$7,780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.98 / $618.04 / $1,201.29	Professional		$484.98	$618.04	$1,201.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,887.73 / $5,916.12 / $12,135.50	Facility		$3,887.73	$5,916.12	$12,135.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $621.49 / $1,016.72 / $1,261.66	Professional		$621.49	$1,016.72	$1,261.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $4,174.81 / $4,660.68	Facility		$1,383.00	$4,174.81	$4,660.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $832.27 / $1,321.15	Professional		$567.08	$832.27	$1,321.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $661.14 / $963.33 / $4,440.93	Professional		$661.14	$963.33	$4,440.93
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 $645.36 / $663.61 / $853.37	Professional		$645.36	$663.61	$853.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $964.97	Professional		$32.34	$32.34	$964.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,493.00 / $6,482.00	Facility		$1,600.00	$3,493.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.74 / $894.10 / $1,589.01	Professional		$637.74	$894.10	$1,589.01