Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.85 / $1,842.00 / $5,389.00	Facility		$535.85	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.91 / $586.84 / $1,065.26	Professional		$491.91	$586.84	$1,065.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,291.43 / $13,722.40	Facility		$3,889.58	$6,291.43	$13,722.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.97 / $972.04 / $1,188.63	Professional		$702.97	$972.04	$1,188.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.41 / $847.24 / $1,219.73	Professional		$593.41	$847.24	$1,219.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $658.97 / $962.61 / $2,629.55	Professional		$658.97	$962.61	$2,629.55
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 $699.93 / $736.11 / $815.87	Professional		$699.93	$736.11	$815.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $922.56	Professional		$32.34	$32.34	$922.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.97 / $741.32 / $1,262.27	Professional		$541.97	$741.32	$1,262.27