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 $502.18 / $605.73 / $1,089.77	Professional		$502.18	$605.73	$1,089.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,493.98 / $14,164.20	Facility		$3,889.58	$6,493.98	$14,164.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.08 / $1,004.01 / $1,221.50	Professional		$726.08	$1,004.01	$1,221.50
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 $597.54 / $875.10 / $1,262.96	Professional		$597.54	$875.10	$1,262.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $679.61 / $995.07 / $2,459.32	Professional		$679.61	$995.07	$2,459.32
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 $705.26 / $756.48 / $842.70	Professional		$705.26	$756.48	$842.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $952.90	Professional		$32.34	$32.34	$952.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $4,711.00 / $8,821.00	Facility		$1,690.00	$4,711.00	$8,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.36 / $757.93 / $1,299.08	Professional		$558.36	$757.93	$1,299.08