Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,731.00 / $5,091.00	Facility		$630.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.52 / $602.15 / $1,144.30	Professional		$490.52	$602.15	$1,144.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,588.67 / $7,676.32 / $15,371.83	Facility		$3,588.67	$7,676.32	$15,371.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.20 / $973.42 / $1,115.02	Professional		$740.20	$973.42	$1,115.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.98 / $874.81 / $1,292.51	Professional		$602.98	$874.81	$1,292.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $688.51 / $1,020.32 / $2,479.29	Professional		$688.51	$1,020.32	$2,479.29
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 $675.45 / $757.95 / $842.41	Professional		$675.45	$757.95	$842.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $952.57	Professional		$32.34	$32.34	$952.57
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.05 / $838.55 / $1,366.80	Professional		$575.05	$838.55	$1,366.80