Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.70 / $1,288.17 / $4,200.00	Facility		$533.70	$1,288.17	$4,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.80 / $583.38 / $1,058.95	Professional		$355.80	$583.38	$1,058.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,420.83 / $4,675.54 / $8,438.36	Facility		$3,420.83	$4,675.54	$8,438.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.44 / $729.56 / $1,094.16	Professional		$505.44	$729.56	$1,094.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.64 / $686.90 / $1,094.10	Professional		$431.64	$686.90	$1,094.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $498.62 / $908.62 / $2,689.33	Professional		$498.62	$908.62	$2,689.33
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 $479.77 / $529.48 / $883.44	Professional		$479.77	$529.48	$883.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,019.36	Professional		$32.34	$32.34	$1,019.36
United Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,963.00 / $5,007.00	Facility		$711.00	$1,963.00	$5,007.00
United Facility/Professional Professional Modifier Low / Median / High Price $626.25 / $866.97 / $1,499.68	Professional		$626.25	$866.97	$1,499.68