Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,157.00 / $5,405.00	Facility		$711.00	$2,157.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.54 / $601.15 / $1,203.51	Professional		$527.54	$601.15	$1,203.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,229.44 / $5,856.30 / $12,773.33	Facility		$2,229.44	$5,856.30	$12,773.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.29 / $913.67 / $1,104.42	Professional		$766.29	$913.67	$1,104.42
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 $528.32 / $759.00 / $1,217.73	Professional		$528.32	$759.00	$1,217.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $642.02 / $1,026.18 / $2,653.94	Professional		$642.02	$1,026.18	$2,653.94
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 $755.31 / $801.54 / $889.36	Professional		$755.31	$801.54	$889.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,026.18	Professional		$32.34	$32.34	$1,026.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,951.00 / $6,625.00	Facility		$1,600.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $547.49 / $752.19 / $1,330.76	Professional		$547.49	$752.19	$1,330.76