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 $554.35 / $656.22 / $1,136.96	Professional		$554.35	$656.22	$1,136.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,041.70 / $6,687.22 / $15,486.00	Facility		$4,041.70	$6,687.22	$15,486.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.56 / $1,099.43 / $1,213.18	Professional		$737.56	$1,099.43	$1,213.18
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 $605.90 / $838.74 / $1,221.65	Professional		$605.90	$838.74	$1,221.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $627.97 / $994.06 / $3,002.93	Professional		$627.97	$994.06	$3,002.93
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 $698.72 / $742.14 / $807.68	Professional		$698.72	$742.14	$807.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $931.94	Professional		$32.34	$32.34	$931.94
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 $620.92 / $883.49 / $1,587.00	Professional		$620.92	$883.49	$1,587.00