Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,848.00 / $5,389.00	Facility		$630.00	$1,848.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.12 / $536.05 / $1,131.93	Professional		$453.12	$536.05	$1,131.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,229.44 / $5,747.04 / $12,535.02	Facility		$2,229.44	$5,747.04	$12,535.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.82 / $890.26 / $1,086.68	Professional		$643.82	$890.26	$1,086.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,378.17 / $1,538.56	Facility		$620.00	$1,378.17	$1,538.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.74 / $747.22 / $1,117.34	Professional		$491.74	$747.22	$1,117.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $574.78 / $890.91 / $2,369.57	Professional		$574.78	$890.91	$2,369.57
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 $632.96 / $672.98 / $747.21	Professional		$632.96	$672.98	$747.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $844.93	Professional		$32.34	$32.34	$844.93
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 $480.83 / $667.83 / $1,218.98	Professional		$480.83	$667.83	$1,218.98