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 $706.06 / $795.70 / $1,341.81	Professional		$706.06	$795.70	$1,341.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,230.57 / $8,071.87 / $18,777.59	Facility		$4,230.57	$8,071.87	$18,777.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.11 / $1,331.29 / $1,469.28	Professional		$893.11	$1,331.29	$1,469.28
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 $751.25 / $1,015.63 / $1,479.11	Professional		$751.25	$1,015.63	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $760.53 / $1,198.00 / $3,520.36	Professional		$760.53	$1,198.00	$3,520.36
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 $846.92 / $898.81 / $978.02	Professional		$846.92	$898.81	$978.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,128.48	Professional		$32.34	$32.34	$1,128.48
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 $741.64 / $1,023.73 / $1,591.40	Professional		$741.64	$1,023.73	$1,591.40