Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,836.00 / $7,000.00	Facility		$825.00	$2,836.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.44 / $806.94 / $1,459.81	Professional		$667.44	$806.94	$1,459.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,111.18 / $10,534.00 / $18,869.02	Facility		$8,111.18	$10,534.00	$18,869.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $965.32 / $1,334.81 / $1,625.19	Professional		$965.32	$1,334.81	$1,625.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $9,826.17 / $10,969.74	Facility		$996.00	$9,826.17	$10,969.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.95 / $1,146.04 / $1,668.98	Professional		$781.95	$1,146.04	$1,668.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $904.89 / $1,335.79 / $3,254.34	Professional		$904.89	$1,335.79	$3,254.34
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 $932.00 / $1,006.47 / $1,120.33	Professional		$932.00	$1,006.47	$1,120.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,266.84	Professional		$32.34	$32.34	$1,266.84
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 $746.13 / $1,006.56 / $1,742.81	Professional		$746.13	$1,006.56	$1,742.81