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 / $7,125.00	Facility		$923.00	$2,989.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.64 / $659.31 / $1,194.10	Professional		$545.64	$659.31	$1,194.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,627.23 / $14,685.35 / $21,862.58	Facility		$6,627.23	$14,685.35	$21,862.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $790.47 / $1,093.04 / $1,330.27	Professional		$790.47	$1,093.04	$1,330.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $18,139.84 / $20,250.95	Facility		$996.00	$18,139.84	$20,250.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.76 / $936.39 / $1,367.03	Professional		$637.76	$936.39	$1,367.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.00 / $1,083.66 / $2,678.45	Professional		$741.00	$1,083.66	$2,678.45
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 $763.37 / $823.84 / $917.42	Professional		$763.37	$823.84	$917.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,037.39	Professional		$32.34	$32.34	$1,037.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.17 / $821.18 / $1,423.28	Professional		$609.17	$821.18	$1,423.28