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 $687.67 / $827.53 / $1,499.47	Professional		$687.67	$827.53	$1,499.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,318.15 / $18,432.27 / $31,247.36	Facility		$8,318.15	$18,432.27	$31,247.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $990.33 / $1,369.40 / $1,672.45	Professional		$990.33	$1,369.40	$1,672.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $28,750.52 / $32,096.51	Facility		$996.00	$28,750.52	$32,096.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.13 / $1,178.46 / $1,699.76	Professional		$798.13	$1,178.46	$1,699.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $941.57 / $1,362.41 / $3,276.08	Professional		$941.57	$1,362.41	$3,276.08
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 $965.51 / $1,035.75 / $1,149.38	Professional		$965.51	$1,035.75	$1,149.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,299.69	Professional		$32.34	$32.34	$1,299.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $8,100.00 / $21,651.00	Facility		$2,600.00	$8,100.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.22 / $1,016.13 / $1,789.04	Professional		$737.22	$1,016.13	$1,789.04