Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,035.00 / $7,125.00	Facility		$923.00	$3,035.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.69 / $901.30 / $1,355.87	Professional		$763.69	$901.30	$1,355.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,138.27 / $7,408.33 / $16,158.50	Facility		$3,138.27	$7,408.33	$16,158.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $798.01 / $1,130.99 / $1,249.25	Professional		$798.01	$1,130.99	$1,249.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.00 / $5,891.00 / $7,782.00	Facility		$1,346.00	$5,891.00	$7,782.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.65 / $1,060.70 / $1,475.04	Professional		$630.65	$1,060.70	$1,475.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $631.09 / $1,041.58 / $2,040.62	Professional		$631.09	$1,041.58	$2,040.62
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 $839.02 / $846.18 / $910.30	Professional		$839.02	$846.18	$910.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,023.21 / $1,051.59 / $2,500.00	Professional		$1,023.21	$1,051.59	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.77 / $898.04 / $1,561.80	Professional		$663.77	$898.04	$1,561.80