Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,118.00 / $5,393.00	Facility		$711.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.59 / $706.69 / $1,318.15	Professional		$590.59	$706.69	$1,318.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,788.99 / $7,576.32 / $16,524.91	Facility		$3,788.99	$7,576.32	$16,524.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $832.89 / $1,167.45 / $1,430.69	Professional		$832.89	$1,167.45	$1,430.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $2,338.66 / $2,610.83	Facility		$709.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.61 / $979.88 / $1,452.61	Professional		$529.61	$979.88	$1,452.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $662.37 / $1,137.09 / $2,318.06	Professional		$662.37	$1,137.09	$2,318.06
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 $828.83 / $886.03 / $979.88	Professional		$828.83	$886.03	$979.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,108.01	Professional		$32.34	$32.34	$1,108.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,664.00 / $6,181.00	Facility		$1,095.00	$2,664.00	$6,181.00
United Facility/Professional Professional Modifier Low / Median / High Price $533.20 / $824.04 / $1,564.45	Professional		$533.20	$824.04	$1,564.45