Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,784.00 / $6,661.00	Facility		$825.00	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.11 / $547.39 / $1,071.26	Professional		$479.11	$547.39	$1,071.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,590.67 / $5,730.87 / $12,499.77	Facility		$2,590.67	$5,730.87	$12,499.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.55 / $940.12 / $1,099.82	Professional		$725.55	$940.12	$1,099.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,799.73 / $1,855.00 / $2,009.18	Facility		$1,799.73	$1,855.00	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.23 / $844.89 / $1,189.09	Professional		$566.23	$844.89	$1,189.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.97 / $977.65 / $4,009.02	Professional		$660.97	$977.65	$4,009.02
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 $721.58 / $747.62 / $813.59	Professional		$721.58	$747.62	$813.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $919.98	Professional		$32.34	$32.34	$919.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.58 / $779.51 / $1,289.53	Professional		$543.58	$779.51	$1,289.53