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 $483.61 / $568.34 / $1,038.51	Professional		$483.61	$568.34	$1,038.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,780.11 / $9,829.73 / $13,850.99	Facility		$5,780.11	$9,829.73	$13,850.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.72 / $957.87 / $1,165.05	Professional		$692.72	$957.87	$1,165.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,831.39 / $7,626.43	Facility		$709.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.20 / $834.89 / $1,206.58	Professional		$581.20	$834.89	$1,206.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $649.36 / $949.07 / $2,343.42	Professional		$649.36	$949.07	$2,343.42
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 $673.78 / $721.51 / $803.97	Professional		$673.78	$721.51	$803.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $909.11	Professional		$32.34	$32.34	$909.11
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 $535.22 / $722.33 / $1,236.42	Professional		$535.22	$722.33	$1,236.42