Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.01 / $3,185.00 / $9,500.00	Facility		$806.01	$3,185.00	$9,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.01 / $480.01 / $846.98	Professional		$413.01	$480.01	$846.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,903.69 / $7,723.94 / $11,327.72	Facility		$3,903.69	$7,723.94	$11,327.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $539.51 / $804.21 / $886.89	Professional		$539.51	$804.21	$886.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $1,855.00 / $1,923.00	Facility		$1,855.00	$1,855.00	$1,923.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.11 / $613.52 / $878.96	Professional		$420.11	$613.52	$878.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $459.07 / $713.65 / $2,005.72	Professional		$459.07	$713.65	$2,005.72
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 $513.92 / $542.54 / $590.79	Professional		$513.92	$542.54	$590.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $681.69	Professional		$32.34	$32.34	$681.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.43 / $625.90 / $1,119.48	Professional		$446.43	$625.90	$1,119.48