Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.84 / $1,135.83 / $3,636.00	Facility		$636.84	$1,135.83	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.77 / $580.57 / $1,090.76	Professional		$488.77	$580.57	$1,090.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $6,294.78 / $13,729.71	Facility		$2,202.15	$6,294.78	$13,729.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.38 / $980.91 / $1,292.18	Professional		$709.38	$980.91	$1,292.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,631.14 / $1,820.98	Facility		$463.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.10 / $854.97 / $1,275.43	Professional		$594.10	$854.97	$1,275.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $677.13 / $994.65 / $2,282.19	Professional		$677.13	$994.65	$2,282.19
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 $691.94 / $738.88 / $892.14	Professional		$691.94	$738.88	$892.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,008.80	Professional		$32.34	$32.34	$1,008.80
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,592.00	Facility		$165.00	$900.00	$3,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.97 / $787.64 / $1,349.64	Professional		$581.97	$787.64	$1,349.64