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 $719.15 / $910.12 / $1,315.04	Professional		$719.15	$910.12	$1,315.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,520.60 / $7,539.53 / $16,444.66	Facility		$4,520.60	$7,539.53	$16,444.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $820.45 / $1,162.79 / $1,275.34	Professional		$820.45	$1,162.79	$1,275.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $952.21 / $1,391.69	Professional		$592.91	$952.21	$1,391.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $651.01 / $1,080.09 / $3,037.03	Professional		$651.01	$1,080.09	$3,037.03
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 $864.31 / $877.58 / $952.21	Professional		$864.31	$877.58	$952.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,076.73	Professional		$32.34	$32.34	$1,076.73
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 $664.90 / $860.41 / $1,559.99	Professional		$664.90	$860.41	$1,559.99