Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.72 / $1,835.00 / $5,389.00	Facility		$645.72	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.28 / $645.72 / $1,065.48	Professional		$545.28	$645.72	$1,065.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $6,922.67 / $15,099.23	Facility		$2,202.15	$6,922.67	$15,099.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $752.50 / $1,040.53 / $1,262.90	Professional		$752.50	$1,040.53	$1,262.90
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 $631.71 / $902.44 / $1,276.44	Professional		$631.71	$902.44	$1,276.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $687.44 / $1,028.77 / $2,615.06	Professional		$687.44	$1,028.77	$2,615.06
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 $755.18 / $782.11 / $873.35	Professional		$755.18	$782.11	$873.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $987.56	Professional		$32.34	$32.34	$987.56
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 $546.54 / $771.91 / $1,313.64	Professional		$546.54	$771.91	$1,313.64