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 / $7,125.00	Facility		$923.00	$3,073.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.83 / $843.94 / $1,163.59	Professional		$639.83	$843.94	$1,163.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,520.60 / $7,311.60 / $15,142.22	Facility		$4,520.60	$7,311.60	$15,142.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.84 / $947.92 / $1,035.57	Professional		$668.84	$947.92	$1,035.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.71 / $2,380.83 / $2,852.50	Professional		$1,058.71	$2,380.83	$2,852.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $548.14 / $931.84 / $2,845.78	Professional		$548.14	$931.84	$2,845.78
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 $707.30 / $712.58 / $776.26	Professional		$707.30	$712.58	$776.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $877.77	Professional		$32.34	$32.34	$877.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,803.00 / $8,995.00	Facility		$1,600.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.01 / $999.24 / $1,637.10	Professional		$682.01	$999.24	$1,637.10