Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $1,972.00 / $5,389.00	Facility		$813.00	$1,972.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.27 / $756.49 / $1,374.99	Professional		$625.27	$756.49	$1,374.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,604.02 / $10,202.07 / $17,689.23	Facility		$7,604.02	$10,202.07	$17,689.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $906.07 / $1,252.89 / $1,525.09	Professional		$906.07	$1,252.89	$1,525.09
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 $755.89 / $1,092.03 / $1,563.03	Professional		$755.89	$1,092.03	$1,563.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.26 / $1,242.36 / $3,330.41	Professional		$851.26	$1,242.36	$3,330.41
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 $872.83 / $944.49 / $1,051.58	Professional		$872.83	$944.49	$1,051.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,189.09	Professional		$32.34	$32.34	$1,189.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.13 / $960.67 / $1,640.15	Professional		$696.13	$960.67	$1,640.15