Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,784.00 / $6,661.00	Facility		$825.00	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.10 / $738.77 / $1,342.16	Professional		$602.10	$738.77	$1,342.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,508.64 / $9,644.16 / $19,312.43	Facility		$4,508.64	$9,644.16	$19,312.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.08 / $1,222.48 / $1,488.25	Professional		$884.08	$1,222.48	$1,488.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.56 / $1,045.84 / $1,421.58	Professional		$710.56	$1,045.84	$1,421.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $828.74 / $1,219.50 / $2,479.23	Professional		$828.74	$1,219.50	$2,479.23
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 $852.80 / $921.67 / $1,026.06	Professional		$852.80	$921.67	$1,026.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,160.24	Professional		$32.34	$32.34	$1,160.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.92 / $909.13 / $1,595.11	Professional		$643.92	$909.13	$1,595.11