Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,824.00 / $6,180.00	Facility		$879.00	$2,824.00	$6,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.85 / $766.00 / $1,172.13	Professional		$621.85	$766.00	$1,172.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,520.60 / $7,092.32 / $14,581.49	Facility		$4,520.60	$7,092.32	$14,581.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $729.07 / $1,033.28 / $1,131.76	Professional		$729.07	$1,033.28	$1,131.76
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 $559.05 / $865.68 / $1,236.69	Professional		$559.05	$865.68	$1,236.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $577.53 / $968.20 / $3,176.64	Professional		$577.53	$968.20	$3,176.64
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 $768.22 / $778.78 / $846.16	Professional		$768.22	$778.78	$846.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $956.81	Professional		$32.34	$32.34	$956.81
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 $597.40 / $757.74 / $1,389.91	Professional		$597.40	$757.74	$1,389.91