Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,587.00 / $5,549.00	Facility		$813.00	$2,587.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.84 / $681.79 / $1,235.45	Professional		$557.84	$681.79	$1,235.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,853.18 / $10,053.12 / $15,942.55	Facility		$6,853.18	$10,053.12	$15,942.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.83 / $1,128.09 / $1,373.64	Professional		$815.83	$1,128.09	$1,373.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.07 / $983.27 / $1,396.23	Professional		$683.07	$983.27	$1,396.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $765.09 / $1,118.99 / $4,331.88	Professional		$765.09	$1,118.99	$4,331.88
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 $789.04 / $850.69 / $946.86	Professional		$789.04	$850.69	$946.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,070.67	Professional		$32.34	$32.34	$1,070.67
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 $627.24 / $850.98 / $1,470.95	Professional		$627.24	$850.98	$1,470.95