Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,758.00 / $5,580.00	Facility		$879.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.82 / $938.77 / $1,369.02	Professional		$741.82	$938.77	$1,369.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,138.27 / $7,778.22 / $16,965.28	Facility		$3,138.27	$7,778.22	$16,965.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.18 / $1,199.27 / $1,315.22	Professional		$846.18	$1,199.27	$1,315.22
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 $679.35 / $1,004.74 / $1,435.34	Professional		$679.35	$1,004.74	$1,435.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $671.29 / $1,123.72 / $3,304.78	Professional		$671.29	$1,123.72	$3,304.78
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 $891.03 / $905.02 / $982.07	Professional		$891.03	$905.02	$982.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,110.50	Professional		$32.34	$32.34	$1,110.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,625.00	Facility		$1,282.00	$3,751.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.88 / $891.45 / $1,572.43	Professional		$691.88	$891.45	$1,572.43