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 $559.01 / $674.85 / $1,222.36	Professional		$559.01	$674.85	$1,222.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $7,234.94 / $15,780.33	Facility		$2,202.15	$7,234.94	$15,780.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.09 / $1,120.16 / $1,363.03	Professional		$810.09	$1,120.16	$1,363.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.38 / $940.19 / $1,374.12	Professional		$650.38	$940.19	$1,374.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $723.79 / $1,110.33 / $2,741.83	Professional		$723.79	$1,110.33	$2,741.83
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 $784.11 / $844.12 / $940.19	Professional		$784.11	$844.12	$940.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,063.13	Professional		$32.34	$32.34	$1,063.13
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 $601.32 / $800.89 / $1,450.68	Professional		$601.32	$800.89	$1,450.68