Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,747.00 / $6,614.00	Facility		$879.00	$2,747.00	$6,614.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.48 / $829.12 / $1,616.78	Professional		$722.48	$829.12	$1,616.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,917.72 / $9,108.15 / $19,433.34	Facility		$5,917.72	$9,108.15	$19,433.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,014.38 / $1,364.18 / $1,609.85	Professional		$1,014.38	$1,364.18	$1,609.85
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 $861.66 / $1,204.67 / $1,747.64	Professional		$861.66	$1,204.67	$1,747.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.24 / $1,396.93 / $6,713.94	Professional		$891.24	$1,396.93	$6,713.94
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 $966.17 / $1,053.29 / $1,160.06	Professional		$966.17	$1,053.29	$1,160.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,338.53	Professional		$32.34	$32.34	$1,338.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $863.62 / $1,234.98 / $1,855.94	Professional		$863.62	$1,234.98	$1,855.94