Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $2,368.00 / $5,483.00	Facility		$676.00	$2,368.00	$5,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.44 / $776.93 / $2,493.60	Professional		$516.44	$776.93	$2,493.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,756.66 / $8,929.20 / $10,983.43	Facility		$7,756.66	$8,929.20	$10,983.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,060.48 / $1,060.48 / $1,291.02	Professional		$1,060.48	$1,060.48	$1,291.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $587.00 / $989.47	Facility		$400.00	$587.00	$989.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,113.18 / $1,133.27 / $3,380.94	Professional		$1,113.18	$1,133.27	$3,380.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $917.09 / $1,371.71 / $1,844.32	Professional		$917.09	$1,371.71	$1,844.32
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
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 $1,172.00 / $4,530.00 / $8,168.00	Facility		$1,172.00	$4,530.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.51 / $955.48 / $1,767.43	Professional		$335.51	$955.48	$1,767.43