Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $2,157.00 / $5,405.00	Facility		$676.00	$2,157.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.20 / $611.77 / $1,195.01	Professional		$493.20	$611.77	$1,195.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,375.72 / $6,653.71 / $13,335.35	Facility		$4,375.72	$6,653.71	$13,335.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.15 / $961.19 / $1,166.76	Professional		$806.15	$961.19	$1,166.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.57 / $888.70 / $1,284.29	Professional		$597.57	$888.70	$1,284.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $680.74 / $1,078.08 / $3,205.56	Professional		$680.74	$1,078.08	$3,205.56
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 $800.87 / $846.79 / $935.62	Professional		$800.87	$846.79	$935.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,079.57	Professional		$32.34	$32.34	$1,079.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,995.00	Facility		$1,690.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.80 / $825.01 / $1,463.65	Professional		$580.80	$825.01	$1,463.65