Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,758.00 / $5,580.00	Facility		$879.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.65 / $597.36 / $1,123.38	Professional		$585.65	$597.36	$1,123.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,134.57 / $7,054.92 / $16,411.86	Facility		$4,134.57	$7,054.92	$16,411.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.01 / $1,138.68 / $1,224.49	Professional		$708.01	$1,138.68	$1,224.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.64 / $828.72 / $1,187.23	Professional		$590.64	$828.72	$1,187.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $620.19 / $964.12 / $2,424.91	Professional		$620.19	$964.12	$2,424.91
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 $691.59 / $732.95 / $798.03	Professional		$691.59	$732.95	$798.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $920.81	Professional		$32.34	$32.34	$920.81
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.85 / $868.19 / $1,295.71	Professional		$615.85	$868.19	$1,295.71