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 $477.72 / $576.02 / $1,036.55	Professional		$477.72	$576.02	$1,036.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,290.98 / $13,469.48	Facility		$3,889.58	$6,290.98	$13,469.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $689.67 / $953.65 / $1,160.57	Professional		$689.67	$953.65	$1,160.57
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 $584.95 / $864.83 / $1,258.35	Professional		$584.95	$864.83	$1,258.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $661.99 / $995.18 / $2,622.31	Professional		$661.99	$995.18	$2,622.31
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 $670.12 / $718.74 / $800.42	Professional		$670.12	$718.74	$800.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $905.09	Professional		$32.34	$32.34	$905.09
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 $527.84 / $736.59 / $1,237.83	Professional		$527.84	$736.59	$1,237.83