Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $2,292.00 / $5,549.00	Facility		$676.00	$2,292.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $1,485.12	Professional		$367.50	$367.50	$1,485.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,192.85 / $2,616.16 / $3,375.08	Facility		$2,192.85	$2,616.16	$3,375.08
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 $165.00 / $527.90 / $615.88	Professional		$165.00	$527.90	$615.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $305.83 / $454.19 / $648.84	Professional		$305.83	$454.19	$648.84
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 $360.70 / $384.83 / $421.75	Professional		$360.70	$384.83	$421.75
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 $1,250.00 / $2,427.00 / $4,800.32	Facility		$1,250.00	$2,427.00	$4,800.32
United Facility/Professional Professional Modifier Low / Median / High Price $573.75 / $573.75 / $573.75	Professional		$573.75	$573.75	$573.75