Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.65 / $1,379.00 / $5,389.00	Facility		$531.65	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.61 / $531.82 / $1,034.41	Professional		$469.61	$531.82	$1,034.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,430.97 / $5,699.73 / $12,431.84	Facility		$3,430.97	$5,699.73	$12,431.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.14 / $875.48 / $1,069.26	Professional		$633.14	$875.48	$1,069.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,338.66 / $2,610.83	Facility		$875.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.44 / $763.08 / $1,118.09	Professional		$523.44	$763.08	$1,118.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $593.51 / $891.42 / $2,053.66	Professional		$593.51	$891.42	$2,053.66
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 $617.07 / $662.19 / $734.83	Professional		$617.07	$662.19	$734.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $830.92	Professional		$32.34	$32.34	$830.92
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.56 / $676.68 / $1,174.42	Professional		$494.56	$676.68	$1,174.42