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 $522.22 / $629.78 / $1,135.94	Professional		$522.22	$629.78	$1,135.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,330.44 / $9,829.73 / $14,726.51	Facility		$6,330.44	$9,829.73	$14,726.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $754.73 / $1,043.61 / $1,270.08	Professional		$754.73	$1,043.61	$1,270.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,831.39 / $7,626.43	Facility		$709.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.91 / $875.94 / $1,293.25	Professional		$591.91	$875.94	$1,293.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $678.65 / $1,030.91 / $2,575.21	Professional		$678.65	$1,030.91	$2,575.21
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 $733.29 / $786.57 / $875.94	Professional		$733.29	$786.57	$875.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $990.49	Professional		$32.34	$32.34	$990.49
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 $569.37 / $758.16 / $1,352.58	Professional		$569.37	$758.16	$1,352.58