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 $524.63 / $586.67 / $1,110.72	Professional		$524.63	$586.67	$1,110.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,610.79 / $14,418.98	Facility		$3,889.58	$6,610.79	$14,418.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $738.92 / $1,021.75 / $1,243.41	Professional		$738.92	$1,021.75	$1,243.41
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 $626.25 / $923.55 / $1,299.64	Professional		$626.25	$923.55	$1,299.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $709.05 / $1,066.21 / $2,819.71	Professional		$709.05	$1,066.21	$2,819.71
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 $717.69 / $770.04 / $857.58	Professional		$717.69	$770.04	$857.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $969.73	Professional		$32.34	$32.34	$969.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $4,342.00 / $8,168.00	Facility		$1,690.00	$4,342.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.55 / $788.33 / $1,324.25	Professional		$565.55	$788.33	$1,324.25