Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $3,270.00 / $15,262.78	Facility		$826.00	$3,270.00	$15,262.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.47 / $1,376.50 / $14,797.20	Professional		$568.47	$1,376.50	$14,797.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,999.60 / $13,594.88 / $20,333.22	Facility		$6,999.60	$13,594.88	$20,333.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.95 / $8,270.79 / $16,971.49	Professional		$661.95	$8,270.79	$16,971.49
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 $642.90 / $1,474.04 / $14,338.42	Professional		$642.90	$1,474.04	$14,338.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $698.45 / $8,860.82 / $15,143.08	Professional		$698.45	$8,860.82	$15,143.08
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 $648.55 / $696.84 / $10,471.87	Professional		$648.55	$696.84	$10,471.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $11,841.28	Professional		$32.34	$32.34	$11,841.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $8,141.00 / $21,651.00	Facility		$2,276.00	$8,141.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $9,786.06 / $13,772.51 / $23,179.73	Professional		$9,786.06	$13,772.51	$23,179.73