Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,800.00 / $7,407.00	Facility		$879.00	$2,800.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.51 / $861.08 / $1,514.23	Professional		$711.51	$861.08	$1,514.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,533.26 / $8,818.68 / $16,670.57	Facility		$5,533.26	$8,818.68	$16,670.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.29 / $1,173.74 / $1,450.69	Professional		$905.29	$1,173.74	$1,450.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $908.00 / $10,962.00	Facility		$400.00	$908.00	$10,962.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.72 / $1,167.36 / $1,737.39	Professional		$758.72	$1,167.36	$1,737.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.37 / $1,346.97 / $4,018.14	Professional		$870.37	$1,346.97	$4,018.14
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 $914.42 / $1,038.69 / $1,167.36	Professional		$914.42	$1,038.69	$1,167.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,320.03	Professional		$32.34	$32.34	$1,320.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,530.00 / $8,168.00	Facility		$1,172.00	$4,530.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $760.98 / $1,046.59 / $1,873.45	Professional		$760.98	$1,046.59	$1,873.45