Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,221.00 / $8,125.00	Facility		$1,017.00	$3,221.00	$8,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.55 / $727.73 / $1,345.29	Professional		$663.55	$727.73	$1,345.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.52 / $8,139.91 / $14,050.30	Facility		$3,981.52	$8,139.91	$14,050.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.89 / $984.19 / $1,219.28	Professional		$746.89	$984.19	$1,219.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $792.33 / $1,383.00 / $5,676.58	Facility		$792.33	$1,383.00	$5,676.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.61 / $1,000.32 / $1,558.01	Professional		$682.61	$1,000.32	$1,558.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $752.96 / $1,153.99 / $4,089.92	Professional		$752.96	$1,153.99	$4,089.92
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 $830.25 / $882.47 / $978.85	Professional		$830.25	$882.47	$978.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,024.03	Professional		$32.34	$32.34	$1,024.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,820.00 / $12,241.00	Facility		$1,300.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $708.33 / $977.10 / $1,608.82	Professional		$708.33	$977.10	$1,608.82