Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,784.00 / $7,123.00	Facility		$825.00	$2,784.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.11 / $821.50 / $1,482.94	Professional		$716.11	$821.50	$1,482.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,025.28 / $10,749.28 / $21,525.43	Facility		$5,025.28	$10,749.28	$21,525.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $913.22 / $1,352.62 / $1,596.20	Professional		$913.22	$1,352.62	$1,596.20
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 $853.03 / $1,194.46 / $1,732.85	Professional		$853.03	$1,194.46	$1,732.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $883.69 / $1,383.94 / $3,583.41	Professional		$883.69	$1,383.94	$3,583.41
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 $957.44 / $1,044.35 / $1,150.21	Professional		$957.44	$1,044.35	$1,150.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,327.17	Professional		$32.34	$32.34	$1,327.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $859.54 / $1,176.21 / $1,831.94	Professional		$859.54	$1,176.21	$1,831.94