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 $486.42 / $586.66 / $1,054.23	Professional		$486.42	$586.66	$1,054.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,290.98 / $13,718.39	Facility		$3,889.58	$6,290.98	$13,718.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.55 / $971.47 / $1,181.94	Professional		$702.55	$971.47	$1,181.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.44 / $844.59 / $1,200.68	Professional		$586.44	$844.59	$1,200.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $658.58 / $962.83 / $2,383.26	Professional		$658.58	$962.83	$2,383.26
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 $682.40 / $731.98 / $815.39	Professional		$682.40	$731.98	$815.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $922.01	Professional		$32.34	$32.34	$922.01
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 $531.71 / $699.13 / $1,256.81	Professional		$531.71	$699.13	$1,256.81