Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,095.00 / $5,393.00	Facility		$711.00	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.49 / $639.97 / $1,156.33	Professional		$530.49	$639.97	$1,156.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,905.64 / $6,860.98 / $14,964.67	Facility		$3,905.64	$6,860.98	$14,964.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.87 / $1,061.79 / $1,292.01	Professional		$767.87	$1,061.79	$1,292.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.51 / $903.38 / $1,315.48	Professional		$617.51	$903.38	$1,315.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $698.78 / $1,052.51 / $2,600.58	Professional		$698.78	$1,052.51	$2,600.58
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 $744.21 / $800.15 / $891.19	Professional		$744.21	$800.15	$891.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,007.73	Professional		$32.34	$32.34	$1,007.73
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 $587.88 / $793.62 / $1,376.19	Professional		$587.88	$793.62	$1,376.19