Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,758.00 / $5,580.00	Facility		$923.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.23 / $634.83 / $1,147.90	Professional		$575.23	$634.83	$1,147.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,539.14 / $5,814.70 / $12,080.16	Facility		$2,539.14	$5,814.70	$12,080.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.75 / $1,048.52 / $1,068.08	Professional		$776.75	$1,048.52	$1,068.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $875.00 / $2,713.32	Facility		$579.00	$875.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.19 / $867.34 / $1,349.99	Professional		$597.19	$867.34	$1,349.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $645.04 / $992.38 / $2,795.69	Professional		$645.04	$992.38	$2,795.69
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 $721.16 / $758.88 / $835.22	Professional		$721.16	$758.88	$835.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $944.45	Professional		$32.34	$32.34	$944.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $5,405.00 / $12,241.00	Facility		$1,900.00	$5,405.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $611.49 / $864.45 / $1,369.36	Professional		$611.49	$864.45	$1,369.36