Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.66 / $1,272.00 / $4,634.00	Facility		$593.66	$1,272.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.73 / $560.86 / $1,048.08	Professional		$483.73	$560.86	$1,048.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $6,012.92 / $13,114.95	Facility		$2,202.15	$6,012.92	$13,114.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.39 / $933.90 / $1,199.25	Professional		$675.39	$933.90	$1,199.25
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 $556.48 / $814.00 / $1,187.59	Professional		$556.48	$814.00	$1,187.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $628.44 / $931.67 / $2,050.71	Professional		$628.44	$931.67	$2,050.71
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 $661.40 / $703.20 / $828.17	Professional		$661.40	$703.20	$828.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $936.46	Professional		$32.34	$32.34	$936.46
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.28 / $732.97 / $1,253.07	Professional		$535.28	$732.97	$1,253.07