Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,073.00 / $7,450.00	Facility		$923.00	$3,073.00	$7,450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.32 / $802.43 / $1,466.36	Professional		$693.32	$802.43	$1,466.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,681.94 / $13,783.13 / $19,994.61	Facility		$6,681.94	$13,783.13	$19,994.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.90 / $1,309.52 / $1,546.72	Professional		$884.90	$1,309.52	$1,546.72
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 $827.57 / $1,156.40 / $1,670.30	Professional		$827.57	$1,156.40	$1,670.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $856.30 / $1,362.29 / $5,053.38	Professional		$856.30	$1,362.29	$5,053.38
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 $922.77 / $1,011.99 / $1,113.57	Professional		$922.77	$1,011.99	$1,113.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,284.89	Professional		$32.34	$32.34	$1,284.89
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 $835.47 / $1,234.22 / $2,250.19	Professional		$835.47	$1,234.22	$2,250.19