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 $458.21 / $549.87 / $1,046.65	Professional		$458.21	$549.87	$1,046.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,253.97 / $12,857.87	Facility		$3,889.58	$6,253.97	$12,857.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.66 / $919.07 / $1,120.46	Professional		$664.66	$919.07	$1,120.46
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 $555.04 / $800.65 / $1,163.43	Professional		$555.04	$800.65	$1,163.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $635.19 / $928.47 / $2,464.75	Professional		$635.19	$928.47	$2,464.75
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 $636.90 / $693.90 / $771.41	Professional		$636.90	$693.90	$771.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $872.28	Professional		$32.34	$32.34	$872.28
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 $529.85 / $706.86 / $1,227.29	Professional		$529.85	$706.86	$1,227.29