Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.64 / $1,696.00 / $4,634.00	Facility		$654.64	$1,696.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.62 / $457.21 / $1,130.61	Professional		$380.62	$457.21	$1,130.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $4,901.67 / $10,691.18	Facility		$2,202.15	$4,901.67	$10,691.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.54 / $758.52 / $925.31	Professional		$548.54	$758.52	$925.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,631.14 / $1,820.98	Facility		$620.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.86 / $656.00 / $942.37	Professional		$435.86	$656.00	$942.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $514.22 / $771.40 / $2,082.63	Professional		$514.22	$771.40	$2,082.63
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 $543.74 / $573.04 / $636.65	Professional		$543.74	$573.04	$636.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $719.90	Professional		$32.34	$32.34	$719.90
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 $419.40 / $571.16 / $972.77	Professional		$419.40	$571.16	$972.77