Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,972.00 / $5,393.00	Facility		$711.00	$1,972.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.04 / $755.56 / $1,271.96	Professional		$618.04	$755.56	$1,271.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,339.37 / $9,282.08 / $18,587.36	Facility		$4,339.37	$9,282.08	$18,587.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.98 / $1,168.65 / $1,378.31	Professional		$868.98	$1,168.65	$1,378.31
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 $686.77 / $1,032.00 / $1,510.52	Professional		$686.77	$1,032.00	$1,510.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $763.06 / $1,179.27 / $3,426.79	Professional		$763.06	$1,179.27	$3,426.79
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 $828.75 / $901.80 / $993.77	Professional		$828.75	$901.80	$993.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,146.66	Professional		$32.34	$32.34	$1,146.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $732.97 / $1,003.02 / $1,820.25	Professional		$732.97	$1,003.02	$1,820.25