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 $576.67 / $717.92 / $1,251.77	Professional		$576.67	$717.92	$1,251.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,038.23 / $6,709.15 / $14,633.50	Facility		$2,038.23	$6,709.15	$14,633.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.80 / $1,010.53 / $1,291.35	Professional		$730.80	$1,010.53	$1,291.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,279.13 / $1,428.00	Facility		$875.00	$1,279.13	$1,428.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.79 / $934.22 / $1,456.66	Professional		$517.79	$934.22	$1,456.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $623.16 / $1,093.42 / $3,434.44	Professional		$623.16	$1,093.42	$3,434.44
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 $770.94 / $771.88 / $1,012.06	Professional		$770.94	$771.88	$1,012.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,144.41	Professional		$32.34	$32.34	$1,144.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $855.50 / $1,576.48	Professional		$650.95	$855.50	$1,576.48