Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,660.00 / $5,580.00	Facility		$813.00	$2,660.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.26 / $768.67 / $1,319.23	Professional		$682.26	$768.67	$1,319.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,669.26 / $7,797.69 / $18,139.77	Facility		$2,669.26	$7,797.69	$18,139.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.29 / $1,284.76 / $1,418.29	Professional		$792.29	$1,284.76	$1,418.29
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 $727.79 / $980.13 / $1,409.41	Professional		$727.79	$980.13	$1,409.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $734.13 / $1,160.65 / $2,976.59	Professional		$734.13	$1,160.65	$2,976.59
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 $816.19 / $867.61 / $943.83	Professional		$816.19	$867.61	$943.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,089.03	Professional		$32.34	$32.34	$1,089.03
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 $716.02 / $1,018.91 / $1,611.67	Professional		$716.02	$1,018.91	$1,611.67