Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,609.00 / $5,430.00	Facility		$755.00	$1,609.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.12 / $748.95 / $1,311.51	Professional		$630.12	$748.95	$1,311.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,766.00 / $8,209.28 / $16,439.08	Facility		$3,766.00	$8,209.28	$16,439.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $858.28 / $1,023.06 / $1,264.18	Professional		$858.28	$1,023.06	$1,264.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $908.00	Facility		$400.00	$785.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.07 / $1,017.51 / $1,487.13	Professional		$681.07	$1,017.51	$1,487.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $766.78 / $1,183.66 / $2,984.08	Professional		$766.78	$1,183.66	$2,984.08
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 $796.47 / $905.15 / $1,017.51	Professional		$796.47	$905.15	$1,017.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,150.57	Professional		$32.34	$32.34	$1,150.57
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 $689.43 / $944.42 / $1,625.15	Professional		$689.43	$944.42	$1,625.15