Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,989.00 / $7,407.00	Facility		$825.00	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $825.00 / $825.00	Professional		$825.00	$825.00	$825.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,638.46 / $9,921.84 / $19,868.48	Facility		$4,638.46	$9,921.84	$19,868.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.86 / $1,285.75 / $1,392.13	Professional		$891.86	$1,285.75	$1,392.13
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 $280.00 / $525.00 / $1,477.05	Professional		$280.00	$525.00	$1,477.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $791.40 / $1,210.76 / $6,512.32	Professional		$791.40	$1,210.76	$6,512.32
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 $876.69 / $935.29 / $1,024.96	Professional		$876.69	$935.29	$1,024.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,103.48 / $1,134.09 / $2,500.00	Professional		$1,103.48	$1,134.09	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00