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 / $5,549.00	Facility		$755.00	$2,118.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.02 / $635.65 / $1,099.46	Professional		$541.02	$635.65	$1,099.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,915.03 / $6,687.22 / $15,000.64	Facility		$3,915.03	$6,687.22	$15,000.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.24 / $1,063.17 / $1,173.16	Professional		$713.24	$1,063.17	$1,173.16
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 $612.77 / $818.54 / $1,184.45	Professional		$612.77	$818.54	$1,184.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $607.26 / $961.28 / $3,117.71	Professional		$607.26	$961.28	$3,117.71
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 $678.38 / $717.67 / $781.04	Professional		$678.38	$717.67	$781.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $901.20	Professional		$32.34	$32.34	$901.20
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 $593.30 / $853.51 / $1,333.90	Professional		$593.30	$853.51	$1,333.90