Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,660.00 / $5,549.00	Facility		$813.00	$2,660.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.30 / $570.07 / $1,063.33	Professional		$493.30	$570.07	$1,063.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,927.89 / $8,324.91 / $13,790.04	Facility		$5,927.89	$8,324.91	$13,790.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.84 / $974.64 / $1,117.04	Professional		$704.84	$974.64	$1,117.04
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 $565.58 / $822.25 / $1,195.59	Professional		$565.58	$822.25	$1,195.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $640.30 / $963.90 / $3,181.90	Professional		$640.30	$963.90	$3,181.90
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 $693.67 / $737.10 / $818.04	Professional		$693.67	$737.10	$818.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $925.01	Professional		$32.34	$32.34	$925.01
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 $527.98 / $716.76 / $1,267.19	Professional		$527.98	$716.76	$1,267.19