Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,095.00 / $5,393.00	Facility		$711.00	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.48 / $692.43 / $1,272.93	Professional		$581.48	$692.43	$1,272.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,227.81 / $7,542.09 / $16,450.25	Facility		$4,227.81	$7,542.09	$16,450.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.49 / $1,163.58 / $1,416.32	Professional		$841.49	$1,163.58	$1,416.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.87 / $1,014.19 / $1,438.47	Professional		$687.87	$1,014.19	$1,438.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $778.06 / $1,149.41 / $5,787.92	Professional		$778.06	$1,149.41	$5,787.92
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 $811.84 / $877.12 / $976.63	Professional		$811.84	$877.12	$976.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,104.33	Professional		$32.34	$32.34	$1,104.33
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 $650.10 / $883.43 / $1,518.96	Professional		$650.10	$883.43	$1,518.96