Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,694.00 / $5,389.00	Facility		$630.00	$1,694.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.01 / $611.05 / $1,107.19	Professional		$579.01	$611.05	$1,107.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,523.21 / $12,242.05 / $17,414.77	Facility		$6,523.21	$12,242.05	$17,414.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $697.80 / $1,122.25 / $1,211.23	Professional		$697.80	$1,122.25	$1,211.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.47 / $817.85 / $1,191.32	Professional		$614.47	$817.85	$1,191.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $613.48 / $975.99 / $2,770.81	Professional		$613.48	$975.99	$2,770.81
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 $676.59 / $725.02 / $786.53	Professional		$676.59	$725.02	$786.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $907.53	Professional		$32.34	$32.34	$907.53
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.57 / $863.41 / $1,307.84	Professional		$621.57	$863.41	$1,307.84