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 $677.26 / $820.26 / $1,495.31	Professional		$677.26	$820.26	$1,495.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,245.16 / $16,115.54 / $23,069.72	Facility		$8,245.16	$16,115.54	$23,069.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $981.64 / $1,357.39 / $1,652.61	Professional		$981.64	$1,357.39	$1,652.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $17,507.30 / $19,544.80	Facility		$996.00	$17,507.30	$19,544.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.31 / $1,159.82 / $1,691.26	Professional		$753.31	$1,159.82	$1,691.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $894.00 / $1,346.25 / $3,326.78	Professional		$894.00	$1,346.25	$3,326.78
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 $944.22 / $1,023.46 / $1,139.29	Professional		$944.22	$1,023.46	$1,139.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,288.28	Professional		$32.34	$32.34	$1,288.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $754.80 / $1,017.13 / $1,780.52	Professional		$754.80	$1,017.13	$1,780.52