Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,118.00 / $5,393.00	Facility		$711.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.50 / $706.45 / $1,170.74	Professional		$599.50	$706.45	$1,170.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,230.66 / $7,573.69 / $16,519.18	Facility		$4,230.66	$7,573.69	$16,519.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $823.47 / $1,138.68 / $1,382.92	Professional		$823.47	$1,138.68	$1,382.92
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 $691.74 / $988.20 / $1,396.83	Professional		$691.74	$988.20	$1,396.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $771.09 / $1,126.83 / $3,015.29	Professional		$771.09	$1,126.83	$3,015.29
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 $825.53 / $856.44 / $955.72	Professional		$825.53	$856.44	$955.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,090.49	Professional		$32.34	$32.34	$1,090.49
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 $603.45 / $824.89 / $1,421.52	Professional		$603.45	$824.89	$1,421.52