Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,836.00 / $7,000.00	Facility		$825.00	$2,836.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.40 / $756.30 / $1,359.18	Professional		$651.40	$756.30	$1,359.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,070.62 / $9,798.91 / $17,684.93	Facility		$7,070.62	$9,798.91	$17,684.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $890.05 / $1,230.73 / $1,315.34	Professional		$890.05	$1,230.73	$1,315.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $5,676.58 / $6,337.22	Facility		$996.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.57 / $1,072.72 / $1,626.54	Professional		$656.57	$1,072.72	$1,626.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $791.71 / $1,230.76 / $3,250.72	Professional		$791.71	$1,230.76	$3,250.72
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 $905.89 / $935.66 / $1,032.99	Professional		$905.89	$935.66	$1,032.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,168.08	Professional		$32.34	$32.34	$1,168.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $707.21 / $976.65 / $1,635.99	Professional		$707.21	$976.65	$1,635.99