Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,989.00 / $7,125.00	Facility		$923.00	$2,989.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.53 / $843.89 / $1,621.12	Professional		$735.53	$843.89	$1,621.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,681.94 / $13,783.13 / $20,186.31	Facility		$6,681.94	$13,783.13	$20,186.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $938.04 / $1,389.09 / $1,639.60	Professional		$938.04	$1,389.09	$1,639.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $11,477.00 / $12,682.00	Facility		$875.00	$11,477.00	$12,682.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.62 / $1,237.79 / $1,820.38	Professional		$876.62	$1,237.79	$1,820.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $907.72 / $1,453.82 / $4,545.59	Professional		$907.72	$1,453.82	$4,545.59
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 $982.98 / $1,072.76 / $1,181.23	Professional		$982.98	$1,072.76	$1,181.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,362.96	Professional		$32.34	$32.34	$1,362.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,474.00 / $14,572.00	Facility		$2,600.00	$7,474.00	$14,572.00
United Facility/Professional Professional Modifier Low / Median / High Price $884.04 / $1,290.21 / $2,161.86	Professional		$884.04	$1,290.21	$2,161.86