Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,588.20 / $5,430.00	Facility		$755.00	$1,588.20	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.98 / $715.56 / $1,190.25	Professional		$576.98	$715.56	$1,190.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,598.10 / $7,843.28 / $15,706.16	Facility		$3,598.10	$7,843.28	$15,706.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.80 / $976.19 / $1,219.07	Professional		$814.80	$976.19	$1,219.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $759.22 / $908.00	Facility		$400.00	$759.22	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.58 / $955.96 / $1,416.75	Professional		$630.58	$955.96	$1,416.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $730.97 / $1,129.68 / $2,663.82	Professional		$730.97	$1,129.68	$2,663.82
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 $775.78 / $863.88 / $970.89	Professional		$775.78	$863.88	$970.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,097.84	Professional		$32.34	$32.34	$1,097.84
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 $627.70 / $867.50 / $1,511.16	Professional		$627.70	$867.50	$1,511.16