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 $646.82 / $774.81 / $1,474.16	Professional		$646.82	$774.81	$1,474.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,070.62 / $9,928.21 / $18,117.84	Facility		$7,070.62	$9,928.21	$18,117.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.47 / $1,356.46 / $1,356.46	Professional		$986.47	$1,356.46	$1,356.46
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 $725.10 / $1,099.44 / $1,637.73	Professional		$725.10	$1,099.44	$1,637.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $864.13 / $1,265.84 / $3,391.98	Professional		$864.13	$1,265.84	$3,391.98
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 $903.08 / $964.39 / $1,069.86	Professional		$903.08	$964.39	$1,069.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,209.78	Professional		$32.34	$32.34	$1,209.78
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 $711.24 / $971.03 / $1,721.31	Professional		$711.24	$971.03	$1,721.31