Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,824.00 / $6,614.00	Facility		$879.00	$2,824.00	$6,614.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.51 / $817.56 / $1,482.17	Professional		$676.51	$817.56	$1,482.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,217.93 / $10,672.64 / $19,117.36	Facility		$8,217.93	$10,672.64	$19,117.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $980.71 / $1,356.10 / $1,650.53	Professional		$980.71	$1,356.10	$1,650.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $9,722.44 / $16,314.00	Facility		$875.00	$9,722.44	$16,314.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.58 / $1,181.99 / $1,692.71	Professional		$801.58	$1,181.99	$1,692.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $904.28 / $1,344.54 / $3,681.74	Professional		$904.28	$1,344.54	$3,681.74
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 $945.24 / $1,022.16 / $1,138.22	Professional		$945.24	$1,022.16	$1,138.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,287.06	Professional		$32.34	$32.34	$1,287.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $6,202.00 / $14,468.00	Facility		$2,600.00	$6,202.00	$14,468.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.69 / $1,018.76 / $1,769.44	Professional		$745.69	$1,018.76	$1,769.44