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 $678.17 / $755.58 / $1,324.96	Professional		$678.17	$755.58	$1,324.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.52 / $8,278.89 / $14,604.34	Facility		$3,981.52	$8,278.89	$14,604.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $848.73 / $1,013.97 / $1,364.42	Professional		$848.73	$1,013.97	$1,364.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $996.00 / $5,676.58	Facility		$659.00	$996.00	$5,676.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.29 / $1,008.46 / $1,589.34	Professional		$630.29	$1,008.46	$1,589.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $753.94 / $1,194.03 / $3,358.97	Professional		$753.94	$1,194.03	$3,358.97
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 $886.99 / $913.09 / $1,008.46	Professional		$886.99	$913.09	$1,008.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,140.33	Professional		$32.34	$32.34	$1,140.33
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 $709.70 / $990.12 / $1,582.83	Professional		$709.70	$990.12	$1,582.83