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 $526.60 / $636.05 / $1,147.92	Professional		$526.60	$636.05	$1,147.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,393.58 / $9,829.73 / $14,873.39	Facility		$6,393.58	$9,829.73	$14,873.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.94 / $1,053.58 / $1,282.17	Professional		$761.94	$1,053.58	$1,282.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.39 / $956.74 / $2,606.98	Professional		$712.39	$956.74	$2,606.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $714.24 / $1,054.35 / $2,584.28	Professional		$714.24	$1,054.35	$2,584.28
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 $737.79 / $794.04 / $884.30	Professional		$737.79	$794.04	$884.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $999.94	Professional		$32.34	$32.34	$999.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,803.00 / $10,219.00	Facility		$1,600.00	$4,803.00	$10,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.66 / $802.54 / $1,369.24	Professional		$590.66	$802.54	$1,369.24