Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,836.00 / $7,000.00	Facility		$825.00	$2,836.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.08 / $561.46 / $1,010.75	Professional		$467.08	$561.46	$1,010.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,290.98 / $13,128.85	Facility		$3,889.58	$6,290.98	$13,128.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.91 / $934.63 / $1,136.88	Professional		$675.91	$934.63	$1,136.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $3,072.73 / $3,430.33	Facility		$996.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.22 / $797.36 / $1,146.53	Professional		$542.22	$797.36	$1,146.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $617.90 / $923.25 / $2,285.46	Professional		$617.90	$923.25	$2,285.46
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 $659.39 / $704.07 / $784.46	Professional		$659.39	$704.07	$784.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $887.04	Professional		$32.34	$32.34	$887.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.82 / $671.62 / $1,202.44	Professional		$509.82	$671.62	$1,202.44