Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,784.00 / $6,661.00	Facility		$825.00	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.53 / $626.91 / $1,226.80	Professional		$561.53	$626.91	$1,226.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,301.55 / $8,448.24 / $14,659.30	Facility		$6,301.55	$8,448.24	$14,659.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.90 / $1,038.32 / $1,279.39	Professional		$750.90	$1,038.32	$1,279.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.95 / $905.01 / $1,350.35	Professional		$639.95	$905.01	$1,350.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $703.90 / $1,056.08 / $3,596.62	Professional		$703.90	$1,056.08	$3,596.62
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 $754.07 / $792.32 / $871.49	Professional		$754.07	$792.32	$871.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $985.46	Professional		$32.34	$32.34	$985.46
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 $608.85 / $835.65 / $1,461.51	Professional		$608.85	$835.65	$1,461.51