Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,933.00 / $7,407.00	Facility		$879.00	$2,933.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.82 / $600.39 / $1,078.07	Professional		$548.82	$600.39	$1,078.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,903.69 / $8,210.49 / $14,072.63	Facility		$3,903.69	$8,210.49	$14,072.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.17 / $978.47 / $1,115.70	Professional		$711.17	$978.47	$1,115.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $11,880.00 / $12,991.00	Facility		$875.00	$11,880.00	$12,991.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.53 / $858.28 / $1,245.52	Professional		$630.53	$858.28	$1,245.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $635.66 / $998.40 / $3,600.24	Professional		$635.66	$998.40	$3,600.24
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 $709.84 / $751.24 / $825.38	Professional		$709.84	$751.24	$825.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $952.37	Professional		$32.34	$32.34	$952.37
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 $588.90 / $792.19 / $1,520.51	Professional		$588.90	$792.19	$1,520.51