Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,758.00 / $5,580.00	Facility		$813.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.87 / $644.59 / $1,163.51	Professional		$533.87	$644.59	$1,163.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,479.27 / $9,897.71 / $15,072.72	Facility		$6,479.27	$9,897.71	$15,072.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.64 / $1,068.38 / $1,299.82	Professional		$772.64	$1,068.38	$1,299.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.41 / $931.21 / $1,339.90	Professional		$628.41	$931.21	$1,339.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $720.96 / $1,058.84 / $2,616.88	Professional		$720.96	$1,058.84	$2,616.88
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 $748.23 / $804.97 / $896.73	Professional		$748.23	$804.97	$896.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,013.99	Professional		$32.34	$32.34	$1,013.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $591.57 / $800.36 / $1,387.08	Professional		$591.57	$800.36	$1,387.08