Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.00 / $1,544.00 / $5,389.00	Facility		$735.00	$1,544.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.17 / $729.66 / $1,300.08	Professional		$633.17	$729.66	$1,300.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,743.47 / $10,146.48 / $20,318.32	Facility		$4,743.47	$10,146.48	$20,318.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $924.54 / $1,278.42 / $1,559.47	Professional		$924.54	$1,278.42	$1,559.47
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 $772.12 / $1,114.29 / $1,568.26	Professional		$772.12	$1,114.29	$1,568.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $862.72 / $1,300.08 / $3,679.93	Professional		$862.72	$1,300.08	$3,679.93
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 $861.37 / $965.78 / $1,073.02	Professional		$861.37	$965.78	$1,073.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,213.33	Professional		$32.34	$32.34	$1,213.33
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $676.78 / $945.77 / $1,612.81	Professional		$676.78	$945.77	$1,612.81