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 $467.66 / $604.90 / $1,019.18	Professional		$467.66	$604.90	$1,019.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,024.71 / $9,457.39 / $13,067.51	Facility		$5,024.71	$9,457.39	$13,067.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.60 / $829.11 / $1,045.34	Professional		$599.60	$829.11	$1,045.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $10,111.00	Facility		$875.00	$6,831.39	$10,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.65 / $776.19 / $1,251.50	Professional		$533.65	$776.19	$1,251.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.07 / $871.48 / $2,979.07	Professional		$562.07	$871.48	$2,979.07
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 $626.90 / $647.39 / $695.89	Professional		$626.90	$647.39	$695.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $786.89	Professional		$32.34	$32.34	$786.89
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 $510.46 / $762.26 / $1,187.77	Professional		$510.46	$762.26	$1,187.77