Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,747.00 / $7,780.00	Facility		$813.00	$2,747.00	$7,780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.50 / $598.44 / $1,048.23	Professional		$459.50	$598.44	$1,048.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,108.79 / $8,139.91 / $11,884.58	Facility		$5,108.79	$8,139.91	$11,884.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.04 / $1,008.46 / $1,288.98	Professional		$598.04	$1,008.46	$1,288.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $5,676.58 / $6,337.22	Facility		$1,383.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.61 / $774.44 / $1,200.92	Professional		$515.61	$774.44	$1,200.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $589.98 / $957.35 / $3,281.84	Professional		$589.98	$957.35	$3,281.84
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 $601.51 / $624.53 / $888.97	Professional		$601.51	$624.53	$888.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,005.22	Professional		$32.34	$32.34	$1,005.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $624.28 / $830.37 / $1,442.99	Professional		$624.28	$830.37	$1,442.99