Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,731.00 / $5,091.00	Facility		$630.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.06 / $579.84 / $1,043.81	Professional		$481.06	$579.84	$1,043.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,290.98 / $13,558.75	Facility		$3,889.58	$6,290.98	$13,558.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.17 / $1,024.66 / $1,024.66	Professional		$745.17	$1,024.66	$1,024.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,963.52 / $4,424.79	Facility		$620.00	$3,963.52	$4,424.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.91 / $835.51 / $1,188.06	Professional		$583.91	$835.51	$1,188.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $651.37 / $952.49 / $2,356.09	Professional		$651.37	$952.49	$2,356.09
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 $675.77 / $724.11 / $806.46	Professional		$675.77	$724.11	$806.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $911.91	Professional		$32.34	$32.34	$911.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.00 / $728.83 / $1,243.47	Professional		$531.00	$728.83	$1,243.47