Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,095.00 / $5,393.00	Facility		$711.00	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.73 / $627.17 / $1,229.38	Professional		$519.73	$627.17	$1,229.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,304.26 / $9,829.73 / $14,665.60	Facility		$6,304.26	$9,829.73	$14,665.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $752.48 / $1,040.50 / $1,265.89	Professional		$752.48	$1,040.50	$1,265.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $9,797.29 / $10,937.51	Facility		$709.00	$9,797.29	$10,937.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.49 / $904.58 / $1,273.31	Professional		$610.49	$904.58	$1,273.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $705.38 / $1,027.83 / $2,176.80	Professional		$705.38	$1,027.83	$2,176.80
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 $729.57 / $783.97 / $873.33	Professional		$729.57	$783.97	$873.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $987.53	Professional		$32.34	$32.34	$987.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,253.00 / $14,468.00	Facility		$2,600.00	$7,253.00	$14,468.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.49 / $747.62 / $1,348.64	Professional		$543.49	$747.62	$1,348.64