Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,784.00 / $7,123.00	Facility		$825.00	$2,784.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.20 / $823.90 / $1,509.24	Professional		$721.20	$823.90	$1,509.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,917.72 / $9,108.15 / $19,310.96	Facility		$5,917.72	$9,108.15	$19,310.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $932.98 / $1,381.56 / $1,630.75	Professional		$932.98	$1,381.56	$1,630.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.61 / $1,220.02 / $1,754.57	Professional		$843.61	$1,220.02	$1,754.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $902.81 / $1,421.10 / $3,394.71	Professional		$902.81	$1,421.10	$3,394.71
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 $977.51 / $1,066.96 / $1,174.83	Professional		$977.51	$1,066.96	$1,174.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,355.58	Professional		$32.34	$32.34	$1,355.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $861.82 / $1,224.08 / $2,300.39	Professional		$861.82	$1,224.08	$2,300.39