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 / $7,123.00	Facility		$825.00	$2,784.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.37 / $754.50 / $1,371.80	Professional		$623.37	$754.50	$1,371.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,584.06 / $10,202.07 / $17,642.80	Facility		$7,584.06	$10,202.07	$17,642.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.17 / $1,250.26 / $1,521.69	Professional		$904.17	$1,250.26	$1,521.69
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 $749.08 / $1,089.74 / $1,592.22	Professional		$749.08	$1,089.74	$1,592.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $857.35 / $1,239.59 / $4,587.22	Professional		$857.35	$1,239.59	$4,587.22
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 $869.57 / $942.38 / $1,049.39	Professional		$869.57	$942.38	$1,049.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,186.60	Professional		$32.34	$32.34	$1,186.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,469.00 / $8,566.00	Facility		$1,600.00	$4,469.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $702.57 / $954.03 / $1,629.21	Professional		$702.57	$954.03	$1,629.21