Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.49 / $1,225.00 / $5,389.00	Facility		$544.49	$1,225.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.02 / $569.52 / $1,061.11	Professional		$440.02	$569.52	$1,061.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,421.67 / $4,730.92 / $10,318.74	Facility		$2,421.67	$4,730.92	$10,318.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.38 / $755.25 / $1,082.56	Professional		$624.38	$755.25	$1,082.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.11 / $839.62 / $1,225.78	Professional		$538.11	$839.62	$1,225.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $582.83 / $966.99 / $2,257.40	Professional		$582.83	$966.99	$2,257.40
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 $630.70 / $660.66 / $864.89	Professional		$630.70	$660.66	$864.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $977.99	Professional		$32.34	$32.34	$977.99
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 $566.95 / $822.76 / $1,395.10	Professional		$566.95	$822.76	$1,395.10