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 $549.39 / $662.76 / $1,199.14	Professional		$549.39	$662.76	$1,199.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,044.73 / $7,105.32 / $15,497.60	Facility		$4,044.73	$7,105.32	$15,497.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $795.43 / $1,099.89 / $1,338.56	Professional		$795.43	$1,099.89	$1,338.56
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 $652.59 / $958.68 / $1,380.65	Professional		$652.59	$958.68	$1,380.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $740.18 / $1,090.42 / $3,000.81	Professional		$740.18	$1,090.42	$3,000.81
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 $770.98 / $828.97 / $923.17	Professional		$770.98	$828.97	$923.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,043.89	Professional		$32.34	$32.34	$1,043.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,803.00 / $8,995.00	Facility		$1,600.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $603.49 / $835.73 / $1,429.50	Professional		$603.49	$835.73	$1,429.50