Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.65 / $1,972.00 / $8,985.00	Facility		$795.65	$1,972.00	$8,985.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.97 / $546.85 / $1,022.64	Professional		$434.97	$546.85	$1,022.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $5,878.50 / $12,821.76	Facility		$2,202.15	$5,878.50	$12,821.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.74 / $883.23 / $1,073.33	Professional		$638.74	$883.23	$1,073.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.67 / $766.98 / $1,083.47	Professional		$503.67	$766.98	$1,083.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $594.80 / $883.30 / $1,995.71	Professional		$594.80	$883.30	$1,995.71
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 $651.26 / $664.72 / $741.33	Professional		$651.26	$664.72	$741.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $838.27	Professional		$32.34	$32.34	$838.27
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 $462.82 / $663.15 / $1,082.32	Professional		$462.82	$663.15	$1,082.32