Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,655.70 / $5,430.00	Facility		$755.00	$1,655.70	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.77 / $721.87 / $1,309.88	Professional		$596.77	$721.87	$1,309.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,405.49 / $9,423.52 / $18,870.59	Facility		$4,405.49	$9,423.52	$18,870.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.85 / $1,194.50 / $1,454.20	Professional		$863.85	$1,194.50	$1,454.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.41 / $1,068.58 / $1,486.36	Professional		$730.41	$1,068.58	$1,486.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $824.85 / $1,212.74 / $2,665.77	Professional		$824.85	$1,212.74	$2,665.77
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 $832.96 / $900.59 / $1,002.59	Professional		$832.96	$900.59	$1,002.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,133.69	Professional		$32.34	$32.34	$1,133.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $662.90 / $917.22 / $1,561.27	Professional		$662.90	$917.22	$1,561.27