Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $2,292.00 / $5,430.00	Facility		$676.00	$2,292.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.61 / $878.63 / $1,101.83	Professional		$599.61	$878.63	$1,101.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,185.36 / $7,379.41 / $9,520.08	Facility		$6,185.36	$7,379.41	$9,520.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,231.02 / $1,231.02 / $1,498.63	Professional		$1,231.02	$1,231.02	$1,498.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,239.41 / $1,239.41 / $1,484.95	Professional		$1,239.41	$1,239.41	$1,484.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $787.70 / $1,388.31 / $2,140.90	Professional		$787.70	$1,388.31	$2,140.90
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 $1,264.19 / $1,280.02 / $1,391.59	Professional		$1,264.19	$1,280.02	$1,391.59
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 $1,282.00 / $3,733.00 / $6,625.00	Facility		$1,282.00	$3,733.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $983.94 / $1,418.97 / $2,482.11	Professional		$983.94	$1,418.97	$2,482.11