Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,758.00 / $5,580.00	Facility		$813.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.98 / $661.78 / $1,131.86	Professional		$581.98	$661.78	$1,131.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,741.87 / $10,053.12 / $15,683.61	Facility		$6,741.87	$10,053.12	$15,683.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.67 / $1,126.51 / $1,367.88	Professional		$814.67	$1,126.51	$1,367.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.92 / $977.46 / $1,381.90	Professional		$650.92	$977.46	$1,381.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $755.82 / $1,114.30 / $2,859.55	Professional		$755.82	$1,114.30	$2,859.55
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 $816.97 / $847.13 / $945.52	Professional		$816.97	$847.13	$945.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,069.16	Professional		$32.34	$32.34	$1,069.16
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 $587.79 / $807.20 / $1,344.97	Professional		$587.79	$807.20	$1,344.97