Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,784.00 / $6,661.00	Facility		$813.00	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.62 / $641.17 / $1,188.77	Professional		$545.62	$641.17	$1,188.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,445.02 / $8,448.24 / $14,993.04	Facility		$6,445.02	$8,448.24	$14,993.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.18 / $1,034.81 / $1,311.13	Professional		$768.18	$1,034.81	$1,311.13
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 $643.53 / $925.84 / $1,358.94	Professional		$643.53	$925.84	$1,358.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $720.10 / $1,065.32 / $3,393.79	Professional		$720.10	$1,065.32	$3,393.79
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 $775.50 / $811.98 / $891.55	Professional		$775.50	$811.98	$891.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,008.14	Professional		$32.34	$32.34	$1,008.14
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 $609.84 / $828.67 / $1,420.51	Professional		$609.84	$828.67	$1,420.51