Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,835.00 / $5,389.00	Facility		$720.00	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.85 / $676.56 / $1,190.07	Professional		$637.85	$676.56	$1,190.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,665.16 / $8,918.69 / $17,874.81	Facility		$4,665.16	$8,918.69	$17,874.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.15 / $1,241.83 / $1,459.56	Professional		$772.15	$1,241.83	$1,459.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.27 / $903.80 / $1,309.89	Professional		$680.27	$903.80	$1,309.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.48 / $1,057.42 / $2,636.80	Professional		$676.48	$1,057.42	$2,636.80
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 $753.17 / $799.47 / $870.32	Professional		$753.17	$799.47	$870.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,004.22	Professional		$32.34	$32.34	$1,004.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,874.00	Facility		$1,282.00	$3,751.00	$6,874.00
United Facility/Professional Professional Modifier Low / Median / High Price $657.91 / $910.51 / $1,413.42	Professional		$657.91	$910.51	$1,413.42