Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,784.00 / $7,123.00	Facility		$825.00	$2,784.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.41 / $623.52 / $1,099.26	Professional		$587.41	$623.52	$1,099.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,900.23 / $8,284.81 / $16,461.30	Facility		$5,900.23	$8,284.81	$16,461.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $710.91 / $1,143.33 / $1,229.92	Professional		$710.91	$1,143.33	$1,229.92
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 $628.61 / $849.47 / $1,253.24	Professional		$628.61	$849.47	$1,253.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $622.94 / $986.22 / $1,804.17	Professional		$622.94	$986.22	$1,804.17
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 $693.17 / $736.20 / $801.31	Professional		$693.17	$736.20	$801.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $924.59	Professional		$32.34	$32.34	$924.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.16 / $867.02 / $1,302.47	Professional		$622.16	$867.02	$1,302.47