Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,836.00 / $7,000.00	Facility		$923.00	$2,836.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.89 / $723.69 / $1,236.61	Professional		$622.89	$723.69	$1,236.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $7,758.57 / $16,922.43	Facility		$4,295.45	$7,758.57	$16,922.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.22 / $1,167.36 / $1,422.10	Professional		$844.22	$1,167.36	$1,422.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $3,072.73 / $3,430.33	Facility		$996.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.34 / $1,016.20 / $1,442.86	Professional		$711.34	$1,016.20	$1,442.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $791.39 / $1,171.03 / $3,134.82	Professional		$791.39	$1,171.03	$3,134.82
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 $849.64 / $880.71 / $979.81	Professional		$849.64	$880.71	$979.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,107.94	Professional		$32.34	$32.34	$1,107.94
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 $646.09 / $895.91 / $1,473.62	Professional		$646.09	$895.91	$1,473.62