Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,475.44 / $5,430.00	Facility		$755.00	$1,475.44	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.54 / $653.91 / $1,156.71	Professional		$590.54	$653.91	$1,156.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,288.13 / $7,167.60 / $14,353.11	Facility		$3,288.13	$7,167.60	$14,353.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.90 / $1,108.85 / $1,126.04	Professional		$818.90	$1,108.85	$1,126.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $723.86 / $908.00	Facility		$400.00	$723.86	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.45 / $914.92 / $1,356.69	Professional		$627.45	$914.92	$1,356.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $682.16 / $1,049.48 / $2,786.27	Professional		$682.16	$1,049.48	$2,786.27
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 $756.74 / $802.54 / $881.04	Professional		$756.74	$802.54	$881.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $921.70	Professional		$32.34	$32.34	$921.70
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.62 / $882.48 / $1,403.91	Professional		$628.62	$882.48	$1,403.91