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 $494.08 / $596.84 / $1,087.75	Professional		$494.08	$596.84	$1,087.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,398.65 / $13,956.27	Facility		$3,889.58	$6,398.65	$13,956.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $715.53 / $989.41 / $1,204.40	Professional		$715.53	$989.41	$1,204.40
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 $588.40 / $857.05 / $1,234.01	Professional		$588.40	$857.05	$1,234.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $653.01 / $981.13 / $2,448.44	Professional		$653.01	$981.13	$2,448.44
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 $691.77 / $745.89 / $830.44	Professional		$691.77	$745.89	$830.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $939.04	Professional		$32.34	$32.34	$939.04
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 $545.35 / $737.31 / $1,293.81	Professional		$545.35	$737.31	$1,293.81