Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,989.00 / $7,125.00	Facility		$923.00	$2,989.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.01 / $659.95 / $1,049.05	Professional		$552.01	$659.95	$1,049.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,064.66 / $6,842.49 / $15,573.98	Facility		$4,064.66	$6,842.49	$15,573.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.96 / $1,104.49 / $1,179.60	Professional		$740.96	$1,104.49	$1,179.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.68 / $842.60 / $1,169.83	Professional		$507.68	$842.60	$1,169.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $610.59 / $949.19 / $2,694.36	Professional		$610.59	$949.19	$2,694.36
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 $639.83 / $721.60 / $811.40	Professional		$639.83	$721.60	$811.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $936.23	Professional		$32.34	$32.34	$936.23
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 $552.00 / $786.26 / $1,469.34	Professional		$552.00	$786.26	$1,469.34