Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,609.00 / $5,549.00	Facility		$630.00	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.71 / $618.91 / $1,098.71	Professional		$538.71	$618.91	$1,098.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,900.23 / $7,693.63 / $14,506.54	Facility		$5,900.23	$7,693.63	$14,506.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $757.16 / $1,018.26 / $1,200.30	Professional		$757.16	$1,018.26	$1,200.30
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 $622.23 / $899.20 / $1,335.87	Professional		$622.23	$899.20	$1,335.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $664.51 / $1,026.97 / $2,677.65	Professional		$664.51	$1,026.97	$2,677.65
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 $724.93 / $785.33 / $865.89	Professional		$724.93	$785.33	$865.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $999.11	Professional		$32.34	$32.34	$999.11
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 $631.99 / $884.47 / $1,589.68	Professional		$631.99	$884.47	$1,589.68