Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,800.00 / $5,580.00	Facility		$879.00	$2,800.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.02 / $780.74 / $1,193.64	Professional		$632.02	$780.74	$1,193.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,520.60 / $7,215.48 / $14,834.70	Facility		$4,520.60	$7,215.48	$14,834.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.19 / $1,050.46 / $1,151.55	Professional		$741.19	$1,050.46	$1,151.55
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 $572.88 / $880.07 / $1,257.25	Professional		$572.88	$880.07	$1,257.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $587.99 / $984.29 / $3,260.79	Professional		$587.99	$984.29	$3,260.79
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 $782.55 / $792.39 / $860.22	Professional		$782.55	$792.39	$860.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $972.71	Professional		$32.34	$32.34	$972.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $610.19 / $803.78 / $1,448.99	Professional		$610.19	$803.78	$1,448.99