Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.06 / $2,747.00 / $9,908.00	Facility		$959.06	$2,747.00	$9,908.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.56 / $959.06 / $1,495.17	Professional		$804.56	$959.06	$1,495.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,244.71 / $9,079.60 / $18,181.89	Facility		$4,244.71	$9,079.60	$18,181.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $963.75 / $1,141.92 / $1,334.15	Professional		$963.75	$1,141.92	$1,334.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $12,731.00 / $28,989.00	Facility		$875.00	$12,731.00	$28,989.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $854.63 / $1,204.56 / $1,862.91	Professional		$854.63	$1,204.56	$1,862.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $823.33 / $1,289.31 / $3,227.82	Professional		$823.33	$1,289.31	$3,227.82
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 $887.55 / $1,000.92 / $1,118.52	Professional		$887.55	$1,000.92	$1,118.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,264.79	Professional		$32.34	$32.34	$1,264.79
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
United Facility/Professional Professional Modifier Low / Median / High Price $813.82 / $1,177.81 / $1,958.05	Professional		$813.82	$1,177.81	$1,958.05