Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.61 / $2,157.00 / $5,405.00	Facility		$717.61	$2,157.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.67 / $717.61 / $1,189.30	Professional		$575.67	$717.61	$1,189.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,773.17 / $7,771.27 / $18,078.29	Facility		$3,773.17	$7,771.27	$18,078.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.32 / $1,322.60 / $1,356.62	Professional		$739.32	$1,322.60	$1,356.62
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 $636.99 / $904.10 / $1,270.31	Professional		$636.99	$904.10	$1,270.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $609.11 / $975.56 / $2,482.54	Professional		$609.11	$975.56	$2,482.54
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 $635.87 / $746.02 / $837.07	Professional		$635.87	$746.02	$837.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $946.53	Professional		$32.34	$32.34	$946.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.22 / $942.99 / $1,571.65	Professional		$653.22	$942.99	$1,571.65