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 $515.86 / $622.71 / $1,120.97	Professional		$515.86	$622.71	$1,120.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,259.36 / $9,829.73 / $14,561.14	Facility		$6,259.36	$9,829.73	$14,561.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.80 / $1,031.27 / $1,254.81	Professional		$745.80	$1,031.27	$1,254.81
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 $601.05 / $896.66 / $1,293.57	Professional		$601.05	$896.66	$1,293.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $699.12 / $1,046.09 / $2,526.33	Professional		$699.12	$1,046.09	$2,526.33
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 $722.36 / $777.10 / $865.58	Professional		$722.36	$777.10	$865.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $978.77	Professional		$32.34	$32.34	$978.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $571.79 / $785.59 / $1,339.36	Professional		$571.79	$785.59	$1,339.36