Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,835.00 / $5,091.00	Facility		$755.00	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.67 / $718.92 / $1,172.50	Professional		$593.67	$718.92	$1,172.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,938.48 / $6,437.83 / $13,980.08	Facility		$2,938.48	$6,437.83	$13,980.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.03 / $984.63 / $1,246.66	Professional		$826.03	$984.63	$1,246.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $750.00 / $3,279.00	Facility		$400.00	$750.00	$3,279.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.57 / $978.60 / $1,416.01	Professional		$637.57	$978.60	$1,416.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $738.99 / $1,139.27 / $2,707.14	Professional		$738.99	$1,139.27	$2,707.14
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 $768.00 / $871.21 / $979.28	Professional		$768.00	$871.21	$979.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,107.33	Professional		$32.34	$32.34	$1,107.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,530.00 / $8,168.00	Facility		$1,172.00	$4,530.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $658.25 / $875.43 / $1,594.20	Professional		$658.25	$875.43	$1,594.20