Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,157.00 / $5,405.00	Facility		$755.00	$2,157.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.07 / $752.85 / $1,184.91	Professional		$603.07	$752.85	$1,184.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,206.14 / $7,092.38 / $15,469.37	Facility		$3,206.14	$7,092.38	$15,469.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.25 / $1,095.91 / $1,200.95	Professional		$773.25	$1,095.91	$1,200.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.84 / $897.44 / $1,334.40	Professional		$655.84	$897.44	$1,334.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $612.29 / $1,026.88 / $2,115.21	Professional		$612.29	$1,026.88	$2,115.21
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 $810.62 / $826.38 / $897.44	Professional		$810.62	$826.38	$897.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,014.80	Professional		$32.34	$32.34	$1,014.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.52 / $839.30 / $1,437.81	Professional		$637.52	$839.30	$1,437.81