Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,118.00 / $5,393.00	Facility		$711.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.73 / $704.98 / $1,405.52	Professional		$612.73	$704.98	$1,405.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,227.81 / $7,557.99 / $16,484.93	Facility		$4,227.81	$7,557.99	$16,484.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $843.15 / $1,165.88 / $1,475.19	Professional		$843.15	$1,165.88	$1,475.19
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 $680.36 / $978.56 / $1,513.92	Professional		$680.36	$978.56	$1,513.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $775.47 / $1,194.69 / $3,254.34	Professional		$775.47	$1,194.69	$3,254.34
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 $876.62 / $913.59 / $978.56	Professional		$876.62	$913.59	$978.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,106.53	Professional		$32.34	$32.34	$1,106.53
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 $696.10 / $951.40 / $1,647.33	Professional		$696.10	$951.40	$1,647.33