Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,118.00 / $5,483.00	Facility		$755.00	$2,118.00	$5,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.07 / $607.34 / $1,046.45	Professional		$527.07	$607.34	$1,046.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.27 / $6,164.80 / $14,235.27	Facility		$3,715.27	$6,164.80	$14,235.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.24 / $1,002.23 / $1,177.40	Professional		$745.24	$1,002.23	$1,177.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.87 / $885.04 / $1,218.02	Professional		$528.87	$885.04	$1,218.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $650.41 / $983.37 / $2,662.55	Professional		$650.41	$983.37	$2,662.55
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 $718.34 / $770.34 / $852.25	Professional		$718.34	$770.34	$852.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $983.37	Professional		$32.34	$32.34	$983.37
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 $588.60 / $808.90 / $1,359.77	Professional		$588.60	$808.90	$1,359.77