Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,694.00 / $5,389.00	Facility		$755.00	$1,694.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.62 / $782.96 / $1,407.16	Professional		$603.62	$782.96	$1,407.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $6,325.99 / $13,797.78	Facility		$2,517.01	$6,325.99	$13,797.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.49 / $1,065.94 / $1,437.07	Professional		$826.49	$1,065.94	$1,437.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.35 / $996.11 / $1,537.11	Professional		$663.35	$996.11	$1,537.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $781.42 / $1,227.49 / $3,596.62	Professional		$781.42	$1,227.49	$3,596.62
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 $831.69 / $873.46 / $1,149.35	Professional		$831.69	$873.46	$1,149.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,326.18	Professional		$32.34	$32.34	$1,326.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $747.85 / $1,046.33 / $1,804.18	Professional		$747.85	$1,046.33	$1,804.18