Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.00 / $3,130.00 / $7,723.00	Facility		$974.00	$3,130.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.67 / $732.16 / $1,348.69	Professional		$638.67	$732.16	$1,348.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,478.79 / $9,101.29 / $17,160.74	Facility		$4,478.79	$9,101.29	$17,160.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.26 / $1,206.47 / $1,424.99	Professional		$815.26	$1,206.47	$1,424.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $11,477.00 / $12,682.00	Facility		$996.00	$11,477.00	$12,682.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.34 / $1,065.40 / $1,541.30	Professional		$762.34	$1,065.40	$1,541.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $788.90 / $1,255.07 / $4,589.18	Professional		$788.90	$1,255.07	$4,589.18
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 $850.47 / $932.33 / $1,025.93	Professional		$850.47	$932.33	$1,025.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,183.77	Professional		$32.34	$32.34	$1,183.77
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 $776.82 / $1,119.99 / $1,707.72	Professional		$776.82	$1,119.99	$1,707.72