Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,758.00 / $5,580.00	Facility		$813.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.73 / $689.26 / $1,221.29	Professional		$571.73	$689.26	$1,221.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,928.27 / $10,053.12 / $16,117.23	Facility		$6,928.27	$10,053.12	$16,117.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.43 / $1,142.77 / $1,390.27	Professional		$826.43	$1,142.77	$1,390.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.86 / $1,018.18 / $1,413.64	Professional		$689.86	$1,018.18	$1,413.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $774.70 / $1,159.04 / $3,093.17	Professional		$774.70	$1,159.04	$3,093.17
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 $802.40 / $861.00 / $959.15	Professional		$802.40	$861.00	$959.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,084.58	Professional		$32.34	$32.34	$1,084.58
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 $631.17 / $867.07 / $1,458.27	Professional		$631.17	$867.07	$1,458.27