Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.00 / $2,989.00 / $7,123.00	Facility		$974.00	$2,989.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $848.18 / $952.70 / $1,617.57	Professional		$848.18	$952.70	$1,617.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.52 / $9,056.18 / $17,872.04	Facility		$3,981.52	$9,056.18	$17,872.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,038.22 / $1,240.34 / $1,544.58	Professional		$1,038.22	$1,240.34	$1,544.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $1,018.50 / $5,676.58	Facility		$659.00	$1,018.50	$5,676.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.62 / $1,239.06 / $1,972.29	Professional		$868.62	$1,239.06	$1,972.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $948.94 / $1,461.88 / $6,614.33	Professional		$948.94	$1,461.88	$6,614.33
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 $1,081.07 / $1,117.91 / $1,233.61	Professional		$1,081.07	$1,117.91	$1,233.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,394.94	Professional		$32.34	$32.34	$1,394.94
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 $867.07 / $1,263.49 / $2,174.57	Professional		$867.07	$1,263.49	$2,174.57