Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.60 / $1,731.00 / $5,389.00	Facility		$632.60	$1,731.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.44 / $630.44 / $1,140.24	Professional		$524.44	$630.44	$1,140.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,782.01 / $14,792.42	Facility		$3,889.58	$6,782.01	$14,792.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $759.52 / $1,050.25 / $1,277.59	Professional		$759.52	$1,050.25	$1,277.59
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 $552.75 / $895.06 / $1,311.59	Professional		$552.75	$895.06	$1,311.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $669.49 / $1,034.67 / $2,569.79	Professional		$669.49	$1,034.67	$2,569.79
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 $737.20 / $791.22 / $881.50	Professional		$737.20	$791.22	$881.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $996.78	Professional		$32.34	$32.34	$996.78
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 $583.77 / $774.07 / $1,359.38	Professional		$583.77	$774.07	$1,359.38