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 $528.73 / $632.74 / $1,252.08	Professional		$528.73	$632.74	$1,252.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,914.58 / $6,876.68 / $14,998.92	Facility		$3,914.58	$6,876.68	$14,998.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.38 / $1,059.72 / $1,284.36	Professional		$766.38	$1,059.72	$1,284.36
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 $631.69 / $917.78 / $1,299.98	Professional		$631.69	$917.78	$1,299.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $726.96 / $1,052.86 / $2,167.75	Professional		$726.96	$1,052.86	$2,167.75
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 $721.36 / $795.41 / $889.46	Professional		$721.36	$795.41	$889.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,005.77	Professional		$32.34	$32.34	$1,005.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.82 / $802.54 / $1,369.43	Professional		$599.82	$802.54	$1,369.43