Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,222.10 / $5,389.00	Facility		$711.00	$1,222.10	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.76 / $691.32 / $1,200.35	Professional		$451.76	$691.32	$1,200.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.52 / $7,839.75 / $11,938.75	Facility		$3,981.52	$7,839.75	$11,938.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.77 / $942.14 / $1,161.33	Professional		$604.77	$942.14	$1,161.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.13 / $834.02 / $1,252.88	Professional		$483.13	$834.02	$1,252.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $538.02 / $926.38 / $2,038.70	Professional		$538.02	$926.38	$2,038.70
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 $618.35 / $632.97 / $860.21	Professional		$618.35	$632.97	$860.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $992.55	Professional		$32.34	$32.34	$992.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.21 / $889.97 / $1,468.72	Professional		$666.21	$889.97	$1,468.72