Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $2,095.00 / $5,393.00	Facility		$676.00	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.14 / $527.48 / $1,022.93	Professional		$441.14	$527.48	$1,022.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $5,654.99 / $12,334.26	Facility		$2,202.15	$5,654.99	$12,334.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.62 / $876.15 / $1,068.75	Professional		$633.62	$876.15	$1,068.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.67 / $761.32 / $1,100.46	Professional		$505.67	$761.32	$1,100.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $593.96 / $890.98 / $2,764.21	Professional		$593.96	$890.98	$2,764.21
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 $623.23 / $661.87 / $735.38	Professional		$623.23	$661.87	$735.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $831.55	Professional		$32.34	$32.34	$831.55
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 $487.50 / $644.64 / $1,131.17	Professional		$487.50	$644.64	$1,131.17