Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.00 / $2,836.00 / $7,123.00	Facility		$974.00	$2,836.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.17 / $838.42 / $1,358.44	Professional		$658.17	$838.42	$1,358.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,573.68 / $9,294.11 / $17,524.30	Facility		$4,573.68	$9,294.11	$17,524.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $867.46 / $1,250.58 / $1,343.46	Professional		$867.46	$1,250.58	$1,343.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.16 / $1,035.26 / $1,452.42	Professional		$639.16	$1,035.26	$1,452.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $763.73 / $1,173.30 / $3,337.65	Professional		$763.73	$1,173.30	$3,337.65
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 $876.62 / $902.59 / $996.92	Professional		$876.62	$902.59	$996.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,150.29	Professional		$32.34	$32.34	$1,150.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $707.41 / $1,044.53 / $1,631.76	Professional		$707.41	$1,044.53	$1,631.76