Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.16 / $2,836.00 / $7,000.00	Facility		$846.16	$2,836.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.65 / $846.16 / $1,546.22	Professional		$702.65	$846.16	$1,546.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,505.42 / $16,624.23 / $23,472.10	Facility		$8,505.42	$16,624.23	$23,472.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,012.34 / $1,399.83 / $1,709.59	Professional		$1,012.34	$1,399.83	$1,709.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $20,949.46 / $23,387.56	Facility		$996.00	$20,949.46	$23,387.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.97 / $1,220.10 / $1,728.38	Professional		$812.97	$1,220.10	$1,728.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $962.64 / $1,392.66 / $3,631.03	Professional		$962.64	$1,392.66	$3,631.03
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 $986.21 / $1,058.75 / $1,174.91	Professional		$986.21	$1,058.75	$1,174.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,328.56	Professional		$32.34	$32.34	$1,328.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $776.29 / $1,068.69 / $1,818.81	Professional		$776.29	$1,068.69	$1,818.81