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 $620.84 / $784.79 / $1,141.81	Professional		$620.84	$784.79	$1,141.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,088.53 / $6,517.11 / $14,214.64	Facility		$3,088.53	$6,517.11	$14,214.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.16 / $1,005.07 / $1,101.77	Professional		$709.16	$1,005.07	$1,101.77
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 $550.40 / $846.25 / $1,173.95	Professional		$550.40	$846.25	$1,173.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $569.79 / $978.49 / $2,876.70	Professional		$569.79	$978.49	$2,876.70
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 $748.25 / $758.15 / $823.04	Professional		$748.25	$758.15	$823.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $930.67	Professional		$32.34	$32.34	$930.67
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,905.00 / $4,342.00	Facility		$553.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.74 / $757.33 / $1,350.81	Professional		$564.74	$757.33	$1,350.81