Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,972.00 / $5,393.00	Facility		$711.00	$1,972.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.91 / $601.96 / $1,224.25	Professional		$515.91	$601.96	$1,224.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,050.78 / $9,829.73 / $14,075.92	Facility		$6,050.78	$9,829.73	$14,075.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $749.34 / $1,036.16 / $1,282.13	Professional		$749.34	$1,036.16	$1,282.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $8,658.56 / $9,666.24	Facility		$709.00	$8,658.56	$9,666.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.24 / $903.13 / $1,361.23	Professional		$640.24	$903.13	$1,361.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $727.95 / $1,068.88 / $2,801.60	Professional		$727.95	$1,068.88	$2,801.60
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 $754.25 / $794.03 / $869.69	Professional		$754.25	$794.03	$869.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $983.42	Professional		$32.34	$32.34	$983.42
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 $604.86 / $829.75 / $1,411.99	Professional		$604.86	$829.75	$1,411.99