Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,758.00 / $5,580.00	Facility		$879.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.04 / $634.58 / $1,066.25	Professional		$539.04	$634.58	$1,066.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.41 / $6,687.22 / $14,975.27	Facility		$3,908.41	$6,687.22	$14,975.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.28 / $1,061.43 / $1,171.22	Professional		$654.28	$1,061.43	$1,171.22
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 $557.32 / $809.75 / $1,163.00	Professional		$557.32	$809.75	$1,163.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $606.24 / $942.43 / $2,462.92	Professional		$606.24	$942.43	$2,462.92
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 $677.16 / $716.47 / $779.77	Professional		$677.16	$716.47	$779.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $899.73	Professional		$32.34	$32.34	$899.73
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,975.00 / $7,676.23	Facility		$930.00	$3,975.00	$7,676.23
United Facility/Professional Professional Modifier Low / Median / High Price $603.03 / $780.25 / $1,266.79	Professional		$603.03	$780.25	$1,266.79