Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,972.00 / $5,393.00	Facility		$711.00	$1,972.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.98 / $666.32 / $1,050.08	Professional		$496.98	$666.32	$1,050.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,773.17 / $7,215.88 / $16,786.30	Facility		$3,773.17	$7,215.88	$16,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.16 / $1,210.39 / $1,240.72	Professional		$676.16	$1,210.39	$1,240.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.95 / $824.45 / $1,147.68	Professional		$582.95	$824.45	$1,147.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $551.44 / $901.00 / $2,059.16	Professional		$551.44	$901.00	$2,059.16
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 $593.10 / $682.73 / $765.56	Professional		$593.10	$682.73	$765.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $865.67	Professional		$32.34	$32.34	$865.67
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.97 / $850.46 / $1,364.13	Professional		$566.97	$850.46	$1,364.13