Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,731.00 / $5,389.00	Facility		$624.00	$1,731.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.37 / $613.02 / $1,178.60	Professional		$537.37	$613.02	$1,178.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,430.97 / $5,971.99 / $13,025.68	Facility		$3,430.97	$5,971.99	$13,025.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $783.53 / $934.22 / $1,129.09	Professional		$783.53	$934.22	$1,129.09
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 $552.21 / $804.44 / $1,238.86	Professional		$552.21	$804.44	$1,238.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $646.69 / $1,040.08 / $2,574.86	Professional		$646.69	$1,040.08	$2,574.86
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 $771.30 / $819.46 / $909.36	Professional		$771.30	$819.46	$909.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,049.27	Professional		$32.34	$32.34	$1,049.27
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 $545.66 / $800.89 / $1,409.92	Professional		$545.66	$800.89	$1,409.92