Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,758.00 / $5,580.00	Facility		$813.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.25 / $547.95 / $1,019.11	Professional		$467.25	$547.95	$1,019.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $6,114.83 / $13,337.21	Facility		$2,202.15	$6,114.83	$13,337.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.22 / $950.27 / $1,155.10	Professional		$687.22	$950.27	$1,155.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,631.14 / $1,820.98	Facility		$875.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.95 / $797.59 / $1,167.84	Professional		$477.95	$797.59	$1,167.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $605.29 / $935.46 / $2,314.44	Professional		$605.29	$935.46	$2,314.44
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 $673.65 / $715.35 / $797.59	Professional		$673.65	$715.35	$797.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $901.89	Professional		$32.34	$32.34	$901.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,622.00 / $5,026.00	Facility		$1,095.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.03 / $690.89 / $1,213.58	Professional		$506.03	$690.89	$1,213.58