Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $3,073.00 / $11,703.70	Facility		$826.00	$3,073.00	$11,703.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.16 / $1,843.47 / $10,780.87	Professional		$695.16	$1,843.47	$10,780.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,282.73 / $15,604.56 / $20,924.30	Facility		$8,282.73	$15,604.56	$20,924.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.06 / $3,249.20 / $13,001.24	Professional		$779.06	$3,249.20	$13,001.24
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 $756.59 / $1,744.31 / $10,843.92	Professional		$756.59	$1,744.31	$10,843.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $821.09 / $6,787.96 / $11,416.11	Professional		$821.09	$6,787.96	$11,416.11
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 $762.44 / $819.65 / $8,022.13	Professional		$762.44	$819.65	$8,022.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $9,071.18	Professional		$32.34	$32.34	$9,071.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $9,590.00 / $21,651.00	Facility		$2,276.00	$9,590.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,892.08 / $9,419.42 / $17,433.18	Professional		$6,892.08	$9,419.42	$17,433.18