Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,758.00 / $6,614.00	Facility		$813.00	$2,758.00	$6,614.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.02 / $769.20 / $1,437.64	Professional		$655.02	$769.20	$1,437.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $8,246.40 / $17,986.43	Facility		$4,295.45	$8,246.40	$17,986.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $898.26 / $1,242.08 / $1,508.91	Professional		$898.26	$1,242.08	$1,508.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.76 / $1,077.39 / $1,523.68	Professional		$754.76	$1,077.39	$1,523.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $842.03 / $1,229.18 / $3,169.23	Professional		$842.03	$1,229.18	$3,169.23
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 $894.88 / $934.47 / $1,042.51	Professional		$894.88	$934.47	$1,042.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,178.83	Professional		$32.34	$32.34	$1,178.83
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 $656.35 / $908.17 / $1,547.95	Professional		$656.35	$908.17	$1,547.95