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 $677.89 / $819.98 / $1,483.43	Professional		$677.89	$819.98	$1,483.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,242.32 / $10,704.32 / $19,174.11	Facility		$8,242.32	$10,704.32	$19,174.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $981.45 / $1,357.12 / $1,651.82	Professional		$981.45	$1,357.12	$1,651.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $6,831.39 / $7,626.43	Facility		$996.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.69 / $1,182.88 / $1,694.19	Professional		$821.69	$1,182.88	$1,694.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $920.96 / $1,345.60 / $3,306.86	Professional		$920.96	$1,345.60	$3,306.86
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 $946.06 / $1,022.97 / $1,139.07	Professional		$946.06	$1,022.97	$1,139.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,288.03	Professional		$32.34	$32.34	$1,288.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,803.00 / $10,219.00	Facility		$1,600.00	$4,803.00	$10,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $762.38 / $1,015.57 / $1,880.39	Professional		$762.38	$1,015.57	$1,880.39