Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.00 / $3,221.00 / $9,691.00	Facility		$974.00	$3,221.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.01 / $851.85 / $1,595.50	Professional		$710.01	$851.85	$1,595.50
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 $998.52 / $1,342.85 / $1,585.06	Professional		$998.52	$1,342.85	$1,585.06
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 $847.07 / $1,185.83 / $1,705.25	Professional		$847.07	$1,185.83	$1,705.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $877.53 / $1,396.06 / $4,018.26	Professional		$877.53	$1,396.06	$4,018.26
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 $948.06 / $1,037.08 / $1,141.91	Professional		$948.06	$1,037.08	$1,141.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,317.59	Professional		$32.34	$32.34	$1,317.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $7,400.00 / $14,716.00	Facility		$1,520.00	$7,400.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $854.60 / $1,232.97 / $1,896.94	Professional		$854.60	$1,232.97	$1,896.94