Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.00 / $2,268.00 / $7,123.00	Facility		$974.00	$2,268.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.12 / $691.93 / $1,354.35	Professional		$577.12	$691.93	$1,354.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,955.13 / $10,053.12 / $16,179.71	Facility		$6,955.13	$10,053.12	$16,179.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.98 / $1,146.28 / $1,394.73	Professional		$828.98	$1,146.28	$1,394.73
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 $692.57 / $999.11 / $1,430.05	Professional		$692.57	$999.11	$1,430.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $781.98 / $1,136.18 / $3,647.33	Professional		$781.98	$1,136.18	$3,647.33
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 $798.56 / $863.76 / $962.10	Professional		$798.56	$863.76	$962.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,087.92	Professional		$32.34	$32.34	$1,087.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $4,711.00 / $8,981.00	Facility		$1,690.00	$4,711.00	$8,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.14 / $868.94 / $1,494.57	Professional		$643.14	$868.94	$1,494.57