Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,660.00 / $5,549.00	Facility		$813.00	$2,660.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.86 / $809.38 / $1,462.82	Professional		$696.86	$809.38	$1,462.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,939.56 / $10,565.92 / $21,158.25	Facility		$4,939.56	$10,565.92	$21,158.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.92 / $1,324.16 / $1,619.03	Professional		$863.92	$1,324.16	$1,619.03
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 $779.80 / $1,141.58 / $1,677.11	Professional		$779.80	$1,141.58	$1,677.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $897.68 / $1,325.14 / $3,803.07	Professional		$897.68	$1,325.14	$3,803.07
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 $936.53 / $1,002.66 / $1,111.41	Professional		$936.53	$1,002.66	$1,111.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,256.75	Professional		$32.34	$32.34	$1,256.75
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 $745.38 / $1,034.54 / $1,731.63	Professional		$745.38	$1,034.54	$1,731.63