Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,118.00 / $5,405.00	Facility		$755.00	$2,118.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.54 / $643.44 / $1,236.61	Professional		$601.54	$643.44	$1,236.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,887.73 / $6,652.12 / $15,474.82	Facility		$3,887.73	$6,652.12	$15,474.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.52 / $1,076.71 / $1,220.33	Professional		$803.52	$1,076.71	$1,220.33
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 $669.85 / $968.44 / $1,427.08	Professional		$669.85	$968.44	$1,427.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $714.87 / $1,109.55 / $2,698.37	Professional		$714.87	$1,109.55	$2,698.37
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 $817.88 / $844.84 / $932.57	Professional		$817.88	$844.84	$932.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,076.04	Professional		$32.34	$32.34	$1,076.04
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $685.45 / $944.83 / $1,495.03	Professional		$685.45	$944.83	$1,495.03