Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $1,842.00 / $5,091.00	Facility		$923.00	$1,842.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.87 / $877.66 / $1,474.21	Professional		$604.87	$877.66	$1,474.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,989.29 / $21,837.48	Facility		$8,538.45	$11,989.29	$21,837.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $971.34 / $1,498.69 / $1,820.34	Professional		$971.34	$1,498.69	$1,820.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $6,831.39 / $7,626.43	Facility		$620.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.59 / $1,161.13 / $1,693.32	Professional		$710.59	$1,161.13	$1,693.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $916.05 / $1,460.10 / $2,723.72	Professional		$916.05	$1,460.10	$2,723.72
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 $1,084.64 / $1,127.33 / $1,257.89	Professional		$1,084.64	$1,127.33	$1,257.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,422.39	Professional		$32.34	$32.34	$1,422.39
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 $682.09 / $956.24 / $1,749.62	Professional		$682.09	$956.24	$1,749.62