Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,118.00 / $5,405.00	Facility		$755.00	$2,118.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.13 / $677.99 / $1,227.55	Professional		$639.13	$677.99	$1,227.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,674.51 / $8,936.57 / $17,910.63	Facility		$4,674.51	$8,936.57	$17,910.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,462.57 / $1,462.57 / $1,462.57	Professional		$1,462.57	$1,462.57	$1,462.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.13 / $905.57 / $1,296.69	Professional		$664.13	$905.57	$1,296.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $677.86 / $1,054.82 / $2,642.23	Professional		$677.86	$1,054.82	$2,642.23
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 $754.83 / $801.11 / $872.03	Professional		$754.83	$801.11	$872.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,006.19	Professional		$32.34	$32.34	$1,006.19
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 $673.81 / $946.91 / $1,417.45	Professional		$673.81	$946.91	$1,417.45