Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $3,087.00 / $9,500.00	Facility		$950.00	$3,087.00	$9,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.53 / $843.70 / $1,606.20	Professional		$723.53	$843.70	$1,606.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,196.39 / $9,934.28 / $19,910.24	Facility		$5,196.39	$9,934.28	$19,910.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $947.09 / $1,411.76 / $1,560.04	Professional		$947.09	$1,411.76	$1,560.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.30 / $1,077.02 / $1,577.79	Professional		$764.30	$1,077.02	$1,577.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $807.51 / $1,254.52 / $4,308.72	Professional		$807.51	$1,254.52	$4,308.72
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 $894.39 / $954.33 / $1,037.13	Professional		$894.39	$954.33	$1,037.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,196.69	Professional		$32.34	$32.34	$1,196.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.36 / $1,070.88 / $2,049.48	Professional		$790.36	$1,070.88	$2,049.48