Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $1,129.00 / $4,961.00	Facility		$513.00	$1,129.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.49 / $577.39 / $1,128.56	Professional		$434.49	$577.39	$1,128.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,421.67 / $4,592.35 / $10,016.52	Facility		$2,421.67	$4,592.35	$10,016.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.08 / $753.12 / $1,083.57	Professional		$607.08	$753.12	$1,083.57
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 $453.13 / $724.15 / $1,122.83	Professional		$453.13	$724.15	$1,122.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $554.97 / $921.38 / $1,848.99	Professional		$554.97	$921.38	$1,848.99
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 $599.37 / $635.30 / $874.07	Professional		$599.37	$635.30	$874.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,008.54	Professional		$32.34	$32.34	$1,008.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.69 / $779.36 / $1,348.59	Professional		$556.69	$779.36	$1,348.59