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 $638.24 / $807.36 / $1,177.36	Professional		$638.24	$807.36	$1,177.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,520.60 / $7,107.09 / $14,611.87	Facility		$4,520.60	$7,107.09	$14,611.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.91 / $1,035.89 / $1,135.03	Professional		$730.91	$1,035.89	$1,135.03
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 $536.75 / $867.87 / $1,239.81	Professional		$536.75	$867.87	$1,239.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $579.37 / $970.64 / $3,205.33	Professional		$579.37	$970.64	$3,205.33
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 $770.98 / $781.03 / $848.29	Professional		$770.98	$781.03	$848.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $959.22	Professional		$32.34	$32.34	$959.22
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 $599.69 / $766.44 / $1,395.21	Professional		$599.69	$766.44	$1,395.21