Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,989.00 / $7,123.00	Facility		$923.00	$2,989.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.01 / $698.67 / $1,264.83	Professional		$578.01	$698.67	$1,264.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,022.89 / $10,053.12 / $16,337.34	Facility		$7,022.89	$10,053.12	$16,337.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $837.89 / $1,158.60 / $1,409.77	Professional		$837.89	$1,158.60	$1,409.77
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 $698.92 / $1,009.86 / $1,448.47	Professional		$698.92	$1,009.86	$1,448.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $785.45 / $1,148.42 / $2,837.82	Professional		$785.45	$1,148.42	$2,837.82
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 $808.85 / $873.07 / $972.47	Professional		$808.85	$873.07	$972.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,099.63	Professional		$32.34	$32.34	$1,099.63
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 $649.77 / $877.41 / $1,509.58	Professional		$649.77	$877.41	$1,509.58