Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,733.00 / $7,723.00	Facility		$813.00	$2,733.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.60 / $845.13 / $1,225.44	Professional		$518.60	$845.13	$1,225.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,822.53 / $5,753.49 / $7,422.51	Facility		$4,822.53	$5,753.49	$7,422.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.70 / $855.70 / $1,170.95	Professional		$855.70	$855.70	$1,170.95
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 $674.91 / $1,047.88 / $1,381.64	Professional		$674.91	$1,047.88	$1,381.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $634.58 / $1,163.64 / $3,939.72	Professional		$634.58	$1,163.64	$3,939.72
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 $886.41 / $900.43 / $975.79	Professional		$886.41	$900.43	$975.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $5,951.00 / $12,241.00	Facility		$1,400.00	$5,951.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.31 / $905.25 / $1,601.77	Professional		$671.31	$905.25	$1,601.77