Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.05 / $2,784.00 / $8,167.00	Facility		$885.05	$2,784.00	$8,167.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.88 / $611.59 / $1,192.58	Professional		$517.88	$611.59	$1,192.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,147.55 / $9,829.73 / $14,301.05	Facility		$6,147.55	$9,829.73	$14,301.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $874.91 / $1,209.80 / $1,472.59	Professional		$874.91	$1,209.80	$1,472.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $10,111.00 / $13,198.00	Facility		$996.00	$10,111.00	$13,198.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.82 / $1,015.42 / $1,390.34	Professional		$623.82	$1,015.42	$1,390.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $781.09 / $1,195.07 / $2,462.94	Professional		$781.09	$1,195.07	$2,462.94
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 $843.83 / $911.98 / $1,015.42	Professional		$843.83	$911.98	$1,015.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,148.20	Professional		$32.34	$32.34	$1,148.20
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 $582.75 / $814.36 / $1,356.40	Professional		$582.75	$814.36	$1,356.40