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 $530.79 / $640.82 / $1,160.73	Professional		$530.79	$640.82	$1,160.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,910.88 / $6,870.18 / $14,984.73	Facility		$3,910.88	$6,870.18	$14,984.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.73 / $1,060.22 / $1,290.03	Professional		$766.73	$1,060.22	$1,290.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,894.60 / $4,347.85	Facility		$709.00	$3,894.60	$4,347.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.28 / $924.10 / $1,329.46	Professional		$645.28	$924.10	$1,329.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $718.75 / $1,050.88 / $3,161.98	Professional		$718.75	$1,050.88	$3,161.98
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 $742.39 / $798.92 / $889.88	Professional		$742.39	$798.92	$889.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,006.24	Professional		$32.34	$32.34	$1,006.24
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 $598.66 / $805.56 / $1,383.10	Professional		$598.66	$805.56	$1,383.10