Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.77 / $1,379.00 / $5,091.00	Facility		$547.77	$1,379.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.13 / $547.77 / $985.68	Professional		$455.13	$547.77	$985.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $5,872.52 / $12,808.72	Facility		$2,202.15	$5,872.52	$12,808.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.50 / $910.55 / $1,107.71	Professional		$658.50	$910.55	$1,107.71
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 $529.57 / $781.67 / $1,143.05	Professional		$529.57	$781.67	$1,143.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $617.28 / $902.37 / $2,243.81	Professional		$617.28	$902.37	$2,243.81
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 $640.46 / $686.01 / $764.26	Professional		$640.46	$686.01	$764.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $864.20	Professional		$32.34	$32.34	$864.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.89 / $686.63 / $1,174.84	Professional		$505.89	$686.63	$1,174.84