Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.29 / $2,836.00 / $7,000.00	Facility		$845.29	$2,836.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.20 / $797.16 / $1,432.19	Professional		$679.20	$797.16	$1,432.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,496.73 / $10,951.95 / $19,765.93	Facility		$8,496.73	$10,951.95	$19,765.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $990.76 / $1,370.00 / $2,071.91	Professional		$990.76	$1,370.00	$2,071.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $6,831.39 / $7,626.43	Facility		$996.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.76 / $1,189.66 / $1,680.60	Professional		$832.76	$1,189.66	$1,680.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $928.75 / $1,362.99 / $3,230.80	Professional		$928.75	$1,362.99	$3,230.80
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 $983.03 / $1,031.04 / $1,149.88	Professional		$983.03	$1,031.04	$1,149.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,300.24	Professional		$32.34	$32.34	$1,300.24
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 $739.56 / $1,026.18 / $1,724.48	Professional		$739.56	$1,026.18	$1,724.48