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 $510.21 / $615.58 / $1,110.92	Professional		$510.21	$615.58	$1,110.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $6,599.49 / $14,394.34	Facility		$2,517.01	$6,599.49	$14,394.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $738.11 / $1,020.63 / $1,242.05	Professional		$738.11	$1,020.63	$1,242.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,909.00 / $2,131.17	Facility		$709.00	$1,909.00	$2,131.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.39 / $858.50 / $1,262.72	Professional		$589.39	$858.50	$1,262.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $670.08 / $1,008.21 / $2,502.78	Professional		$670.08	$1,008.21	$2,502.78
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 $715.70 / $769.20 / $856.65	Professional		$715.70	$769.20	$856.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $968.67	Professional		$32.34	$32.34	$968.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.19 / $766.57 / $1,302.75	Professional		$560.19	$766.57	$1,302.75