Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,836.00 / $7,000.00	Facility		$825.00	$2,836.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.15 / $716.07 / $1,297.80	Professional		$592.15	$716.07	$1,297.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,288.28 / $7,676.84 / $16,744.16	Facility		$4,288.28	$7,676.84	$16,744.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.86 / $1,183.45 / $1,440.94	Professional		$855.86	$1,183.45	$1,440.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $3,072.73 / $3,430.33	Facility		$996.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.30 / $1,031.51 / $1,481.14	Professional		$716.30	$1,031.51	$1,481.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $803.46 / $1,183.26 / $2,908.44	Professional		$803.46	$1,183.26	$2,908.44
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 $827.10 / $892.37 / $993.30	Professional		$827.10	$892.37	$993.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,123.20	Professional		$32.34	$32.34	$1,123.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $658.41 / $902.53 / $1,547.13	Professional		$658.41	$902.53	$1,547.13