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 $523.51 / $631.76 / $1,141.96	Professional		$523.51	$631.76	$1,141.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,772.94 / $14,772.65	Facility		$3,889.58	$6,772.94	$14,772.65
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 $640.15 / $932.86 / $1,314.04	Professional		$640.15	$932.86	$1,314.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $725.49 / $1,081.57 / $2,569.79	Professional		$725.49	$1,081.57	$2,569.79
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 $733.79 / $789.20 / $878.77	Professional		$733.79	$789.20	$878.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $993.69	Professional		$32.34	$32.34	$993.69
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 $580.59 / $830.66 / $1,361.21	Professional		$580.59	$830.66	$1,361.21