Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $1,730.26 / $4,634.00	Facility		$813.00	$1,730.26	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.17 / $577.85 / $1,068.30	Professional		$502.17	$577.85	$1,068.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $6,475.91 / $14,124.79	Facility		$2,202.15	$6,475.91	$14,124.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.62 / $1,003.36 / $1,220.70	Professional		$725.62	$1,003.36	$1,220.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,631.14 / $1,820.98	Facility		$620.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.82 / $842.15 / $1,209.60	Professional		$546.82	$842.15	$1,209.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $654.64 / $988.58 / $2,097.12	Professional		$654.64	$988.58	$2,097.12
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 $709.19 / $755.98 / $842.15	Professional		$709.19	$755.98	$842.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $952.28	Professional		$32.34	$32.34	$952.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,465.00 / $4,780.00	Facility		$1,095.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.41 / $717.95 / $1,219.28	Professional		$525.41	$717.95	$1,219.28