Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,972.00 / $5,549.00	Facility		$587.00	$1,972.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.52 / $470.19 / $1,121.50	Professional		$402.52	$470.19	$1,121.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,520.98 / $5,392.48 / $10,798.44	Facility		$2,520.98	$5,392.48	$10,798.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.73 / $683.03 / $823.06	Professional		$517.73	$683.03	$823.06
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 $475.04 / $644.99 / $950.40	Professional		$475.04	$644.99	$950.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $597.09 / $3,541.16	Professional		$345.40	$597.09	$3,541.16
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 $431.44 / $431.44 / $431.44	Professional		$431.44	$431.44	$431.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.18 / $420.47 / $696.60	Professional		$288.18	$420.47	$696.60