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 $605.09 / $723.07 / $1,328.07	Professional		$605.09	$723.07	$1,328.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,412.82 / $9,439.20 / $18,901.99	Facility		$4,412.82	$9,439.20	$18,901.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $914.36 / $1,257.30 / $1,257.30	Professional		$914.36	$1,257.30	$1,257.30
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 $678.58 / $1,021.56 / $1,512.10	Professional		$678.58	$1,021.56	$1,512.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $779.44 / $1,169.45 / $2,783.49	Professional		$779.44	$1,169.45	$2,783.49
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 $844.42 / $894.28 / $992.33	Professional		$844.42	$894.28	$992.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,122.09	Professional		$32.34	$32.34	$1,122.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,619.00 / $12,241.00	Facility		$2,100.00	$5,619.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.16 / $898.98 / $1,577.65	Professional		$651.16	$898.98	$1,577.65