Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,609.00 / $5,389.00	Facility		$720.00	$1,609.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.28 / $745.28 / $1,452.29	Professional		$606.28	$745.28	$1,452.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,729.32 / $6,596.34 / $14,387.46	Facility		$3,729.32	$6,596.34	$14,387.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,248.72 / $1,248.72 / $1,486.50	Professional		$1,248.72	$1,248.72	$1,486.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.08 / $1,005.01 / $1,540.24	Professional		$647.08	$1,005.01	$1,540.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $773.27 / $1,244.82 / $3,479.14	Professional		$773.27	$1,244.82	$3,479.14
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 $848.89 / $906.27 / $1,198.58	Professional		$848.89	$906.27	$1,198.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,382.99	Professional		$32.34	$32.34	$1,382.99
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 $769.38 / $1,092.47 / $1,877.04	Professional		$769.38	$1,092.47	$1,877.04