Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,609.00 / $5,430.00	Facility		$755.00	$1,609.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.95 / $656.95 / $1,254.56	Professional		$539.95	$656.95	$1,254.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,009.28 / $8,576.00 / $17,173.43	Facility		$4,009.28	$8,576.00	$17,173.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $723.42 / $1,000.33 / $1,207.97	Professional		$723.42	$1,000.33	$1,207.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.01 / $918.08 / $1,396.40	Professional		$633.01	$918.08	$1,396.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $678.14 / $1,035.83 / $3,270.64	Professional		$678.14	$1,035.83	$3,270.64
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 $643.12 / $748.10 / $839.61	Professional		$643.12	$748.10	$839.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $949.40	Professional		$32.34	$32.34	$949.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.66 / $906.04 / $1,501.83	Professional		$621.66	$906.04	$1,501.83