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 $601.46 / $693.39 / $1,306.46	Professional		$601.46	$693.39	$1,306.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,133.07 / $8,840.79 / $17,703.70	Facility		$4,133.07	$8,840.79	$17,703.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $798.96 / $1,104.78 / $1,266.19	Professional		$798.96	$1,104.78	$1,266.19
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 $584.74 / $962.94 / $1,469.84	Professional		$584.74	$962.94	$1,469.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $716.93 / $1,126.67 / $3,046.08	Professional		$716.93	$1,126.67	$3,046.08
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 $836.95 / $847.28 / $927.28	Professional		$836.95	$847.28	$927.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,048.54	Professional		$32.34	$32.34	$1,048.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,619.00 / $12,241.00	Facility		$2,100.00	$5,619.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.48 / $872.57 / $1,564.82	Professional		$653.48	$872.57	$1,564.82