Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,067.00 / $5,430.00	Facility		$711.00	$2,067.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.89 / $656.38 / $1,194.85	Professional		$542.89	$656.38	$1,194.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,005.80 / $7,036.92 / $15,348.43	Facility		$4,005.80	$7,036.92	$15,348.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.34 / $1,091.47 / $1,328.29	Professional		$789.34	$1,091.47	$1,328.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,430.33 / $10,111.00	Facility		$875.00	$3,430.33	$10,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.52 / $933.73 / $1,356.73	Professional		$614.52	$933.73	$1,356.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $739.92 / $1,107.36 / $2,680.26	Professional		$739.92	$1,107.36	$2,680.26
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 $761.55 / $822.61 / $916.10	Professional		$761.55	$822.61	$916.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,035.89	Professional		$32.34	$32.34	$1,035.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,803.00 / $8,821.00	Facility		$1,787.00	$4,803.00	$8,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $598.27 / $815.90 / $1,421.52	Professional		$598.27	$815.90	$1,421.52