Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,784.00 / $6,661.00	Facility		$825.00	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.67 / $701.96 / $1,296.41	Professional		$584.67	$701.96	$1,296.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,055.97 / $9,094.87 / $16,414.29	Facility		$7,055.97	$9,094.87	$16,414.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $838.13 / $1,158.94 / $1,328.27	Professional		$838.13	$1,158.94	$1,328.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.30 / $998.63 / $1,470.70	Professional		$673.30	$998.63	$1,470.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $780.95 / $1,147.59 / $3,223.56	Professional		$780.95	$1,147.59	$3,223.56
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 $818.74 / $877.58 / $972.74	Professional		$818.74	$877.58	$972.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,099.94	Professional		$32.34	$32.34	$1,099.94
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 $622.41 / $847.93 / $1,506.57	Professional		$622.41	$847.93	$1,506.57