Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.00 / $2,321.62 / $6,644.00	Facility		$974.00	$2,321.62	$6,644.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.93 / $927.75 / $1,651.36	Professional		$681.93	$927.75	$1,651.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,070.62 / $9,850.52 / $17,778.08	Facility		$7,070.62	$9,850.52	$17,778.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $906.62 / $1,533.17 / $2,039.09	Professional		$906.62	$1,533.17	$2,039.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $7,738.50 / $8,639.11	Facility		$996.00	$7,738.50	$8,639.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.41 / $1,214.10 / $1,835.93	Professional		$803.41	$1,214.10	$1,835.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $959.39 / $1,499.88 / $6,357.10	Professional		$959.39	$1,499.88	$6,357.10
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 $882.60 / $949.49 / $1,403.68	Professional		$882.60	$949.49	$1,403.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,598.15	Professional		$32.34	$32.34	$1,598.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $895.82 / $1,233.14 / $2,202.13	Professional		$895.82	$1,233.14	$2,202.13