Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,800.00 / $6,180.00	Facility		$923.00	$2,800.00	$6,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.63 / $682.07 / $1,234.13	Professional		$642.63	$682.07	$1,234.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,700.09 / $9,550.99 / $18,008.65	Facility		$4,700.09	$9,550.99	$18,008.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.81 / $1,250.94 / $1,345.46	Professional		$777.81	$1,250.94	$1,345.46
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 $676.62 / $910.43 / $1,325.06	Professional		$676.62	$910.43	$1,325.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $681.46 / $1,060.48 / $3,069.62	Professional		$681.46	$1,060.48	$3,069.62
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 $758.71 / $805.36 / $876.71	Professional		$758.71	$805.36	$876.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,011.59	Professional		$32.34	$32.34	$1,011.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.06 / $959.33 / $1,713.63	Professional		$673.06	$959.33	$1,713.63