Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,228.00 / $5,549.00	Facility		$755.00	$2,228.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.06 / $618.08 / $1,057.13	Professional		$446.06	$618.08	$1,057.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,513.06 / $11,030.94	Facility		$3,878.08	$5,513.06	$11,030.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $566.53 / $783.38 / $1,297.08	Professional		$566.53	$783.38	$1,297.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.16 / $793.20 / $1,194.79	Professional		$522.16	$793.20	$1,194.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $649.73 / $957.76 / $2,340.48	Professional		$649.73	$957.76	$2,340.48
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 $591.17 / $611.53 / $872.60	Professional		$591.17	$611.53	$872.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $986.71	Professional		$32.34	$32.34	$986.71
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 $621.04 / $816.31 / $1,462.24	Professional		$621.04	$816.31	$1,462.24