Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,453.79 / $5,430.00	Facility		$755.00	$1,453.79	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.03 / $643.57 / $1,134.80	Professional		$583.03	$643.57	$1,134.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,236.13 / $7,054.24 / $14,126.11	Facility		$3,236.13	$7,054.24	$14,126.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $729.14 / $873.56 / $1,115.90	Professional		$729.14	$873.56	$1,115.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $711.65 / $908.00	Facility		$400.00	$711.65	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.33 / $902.24 / $1,347.20	Professional		$617.33	$902.24	$1,347.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $672.15 / $1,034.08 / $3,351.44	Professional		$672.15	$1,034.08	$3,351.44
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 $746.47 / $790.76 / $868.82	Professional		$746.47	$790.76	$868.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $908.92	Professional		$32.34	$32.34	$908.92
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 $606.51 / $860.02 / $1,378.25	Professional		$606.51	$860.02	$1,378.25