Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,800.00 / $5,549.00	Facility		$879.00	$2,800.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.26 / $635.22 / $1,247.95	Professional		$535.26	$635.22	$1,247.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,810.06 / $14,853.61	Facility		$3,889.58	$6,810.06	$14,853.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $763.85 / $1,056.22 / $1,292.41	Professional		$763.85	$1,056.22	$1,292.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.32 / $920.62 / $1,325.79	Professional		$636.32	$920.62	$1,325.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $716.04 / $1,052.81 / $2,973.64	Professional		$716.04	$1,052.81	$2,973.64
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 $758.99 / $800.38 / $886.52	Professional		$758.99	$800.38	$886.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,002.45	Professional		$32.34	$32.34	$1,002.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $584.97 / $801.79 / $1,378.79	Professional		$584.97	$801.79	$1,378.79