Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,228.00 / $5,500.00	Facility		$755.00	$2,228.00	$5,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.00 / $626.41 / $1,206.22	Professional		$492.00	$626.41	$1,206.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,887.73 / $6,037.62 / $12,413.07	Facility		$3,887.73	$6,037.62	$12,413.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.95 / $1,027.08 / $1,266.01	Professional		$631.95	$1,027.08	$1,266.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,713.32 / $3,029.10	Facility		$875.00	$2,713.32	$3,029.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.41 / $844.35 / $1,358.07	Professional		$531.41	$844.35	$1,358.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $612.73 / $948.39 / $2,818.88	Professional		$612.73	$948.39	$2,818.88
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 $662.17 / $669.37 / $862.06	Professional		$662.17	$669.37	$862.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $994.68	Professional		$32.34	$32.34	$994.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,951.00 / $7,295.00	Facility		$1,499.00	$3,951.00	$7,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $644.45 / $902.09 / $1,505.86	Professional		$644.45	$902.09	$1,505.86