Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,933.00 / $5,405.00	Facility		$711.00	$1,933.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.10 / $564.54 / $1,052.29	Professional		$491.10	$564.54	$1,052.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,453.40 / $7,331.55 / $13,231.89	Facility		$3,453.40	$7,331.55	$13,231.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.40 / $925.79 / $1,091.56	Professional		$688.40	$925.79	$1,091.56
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 $541.41 / $817.54 / $1,173.50	Professional		$541.41	$817.54	$1,173.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $604.30 / $933.93 / $3,196.57	Professional		$604.30	$933.93	$3,196.57
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 $661.88 / $714.18 / $787.25	Professional		$661.88	$714.18	$787.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $908.37	Professional		$32.34	$32.34	$908.37
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 $564.16 / $745.23 / $1,201.24	Professional		$564.16	$745.23	$1,201.24