Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,758.00 / $5,580.00	Facility		$813.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.79 / $668.35 / $1,191.71	Professional		$605.79	$668.35	$1,191.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,707.13 / $8,710.56 / $15,602.79	Facility		$6,707.13	$8,710.56	$15,602.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $784.49 / $1,084.76 / $1,161.48	Professional		$784.49	$1,084.76	$1,161.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $5,676.58 / $6,337.22	Facility		$875.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.66 / $945.49 / $1,438.02	Professional		$544.66	$945.49	$1,438.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $684.08 / $1,083.42 / $3,018.92	Professional		$684.08	$1,083.42	$3,018.92
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 $803.02 / $823.65 / $910.48	Professional		$803.02	$823.65	$910.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,029.54	Professional		$32.34	$32.34	$1,029.54
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 $615.48 / $875.34 / $1,426.41	Professional		$615.48	$875.34	$1,426.41