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 $588.73 / $683.77 / $1,294.35	Professional		$588.73	$683.77	$1,294.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,172.97 / $7,330.60 / $15,988.98	Facility		$4,172.97	$7,330.60	$15,988.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.26 / $1,095.51 / $1,337.03	Professional		$792.26	$1,095.51	$1,337.03
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 $668.79 / $954.86 / $1,343.88	Professional		$668.79	$954.86	$1,343.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $742.67 / $1,098.43 / $2,629.55	Professional		$742.67	$1,098.43	$2,629.55
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 $807.16 / $828.02 / $919.49	Professional		$807.16	$828.02	$919.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,039.73	Professional		$32.34	$32.34	$1,039.73
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 $604.47 / $858.61 / $1,372.61	Professional		$604.47	$858.61	$1,372.61