Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,095.00 / $5,393.00	Facility		$711.00	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.66 / $612.19 / $1,185.71	Professional		$517.66	$612.19	$1,185.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.59 / $8,448.24 / $14,315.09	Facility		$6,153.59	$8,448.24	$14,315.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.76 / $1,003.56 / $1,150.18	Professional		$725.76	$1,003.56	$1,150.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $5,676.58 / $6,337.22	Facility		$709.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.49 / $874.71 / $1,284.57	Professional		$606.49	$874.71	$1,284.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $680.33 / $1,007.38 / $2,922.93	Professional		$680.33	$1,007.38	$2,922.93
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 $726.49 / $765.84 / $842.31	Professional		$726.49	$765.84	$842.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $952.46	Professional		$32.34	$32.34	$952.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $583.99 / $790.30 / $1,406.00	Professional		$583.99	$790.30	$1,406.00