Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.35 / $2,836.00 / $7,000.00	Facility		$858.35	$2,836.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.96 / $549.04 / $1,020.17	Professional		$483.96	$549.04	$1,020.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,353.59 / $8,178.13 / $12,454.05	Facility		$5,353.59	$8,178.13	$12,454.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.41 / $863.43 / $1,059.86	Professional		$624.41	$863.43	$1,059.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $5,676.58 / $6,337.22	Facility		$996.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.38 / $752.58 / $1,142.02	Professional		$476.38	$752.58	$1,142.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $555.40 / $863.40 / $3,076.87	Professional		$555.40	$863.40	$3,076.87
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 $637.73 / $656.38 / $724.71	Professional		$637.73	$656.38	$724.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $819.48	Professional		$32.34	$32.34	$819.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.21 / $704.69 / $1,222.83	Professional		$525.21	$704.69	$1,222.83