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 / $5,549.00	Facility		$755.00	$2,118.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.23 / $639.21 / $1,238.42	Professional		$593.23	$639.21	$1,238.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,930.15 / $6,412.25 / $14,916.81	Facility		$1,930.15	$6,412.25	$14,916.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.79 / $1,046.25 / $1,187.68	Professional		$780.79	$1,046.25	$1,187.68
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 $620.99 / $941.04 / $1,409.25	Professional		$620.99	$941.04	$1,409.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $695.74 / $1,079.83 / $2,908.44	Professional		$695.74	$1,079.83	$2,908.44
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 $787.61 / $822.24 / $906.18	Professional		$787.61	$822.24	$906.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,045.58	Professional		$32.34	$32.34	$1,045.58
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $689.31 / $928.48 / $1,506.32	Professional		$689.31	$928.48	$1,506.32