Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.58 / $2,232.00 / $5,405.00	Facility		$816.58	$2,232.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.98 / $816.58 / $1,235.23	Professional		$680.98	$816.58	$1,235.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,107.35 / $7,730.64 / $13,847.50	Facility		$4,107.35	$7,730.64	$13,847.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $822.33 / $974.36 / $1,303.24	Professional		$822.33	$974.36	$1,303.24
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 $718.67 / $1,005.54 / $1,415.34	Professional		$718.67	$1,005.54	$1,415.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $702.69 / $1,061.19 / $2,540.27	Professional		$702.69	$1,061.19	$2,540.27
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 $752.67 / $849.34 / $954.41	Professional		$752.67	$849.34	$954.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,079.22	Professional		$32.34	$32.34	$1,079.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.46 / $924.91 / $1,643.73	Professional		$661.46	$924.91	$1,643.73