Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,824.00 / $5,580.00	Facility		$813.00	$2,824.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.35 / $753.94 / $1,546.90	Professional		$660.35	$753.94	$1,546.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,388.71 / $7,344.80 / $16,019.93	Facility		$4,388.71	$7,344.80	$16,019.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $866.35 / $1,145.75 / $1,385.43	Professional		$866.35	$1,145.75	$1,385.43
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 $729.75 / $1,028.24 / $1,527.05	Professional		$729.75	$1,028.24	$1,527.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $802.59 / $1,286.83 / $3,506.44	Professional		$802.59	$1,286.83	$3,506.44
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 $944.23 / $1,005.49 / $1,115.26	Professional		$944.23	$1,005.49	$1,115.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,286.83	Professional		$32.34	$32.34	$1,286.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,408.00 / $9,476.00	Facility		$1,690.00	$5,408.00	$9,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $720.10 / $999.46 / $1,729.13	Professional		$720.10	$999.46	$1,729.13