Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.95 / $1,842.00 / $5,766.68	Facility		$679.95	$1,842.00	$5,766.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.52 / $489.38 / $988.39	Professional		$410.52	$489.38	$988.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,430.97 / $5,549.23 / $11,443.36	Facility		$3,430.97	$5,549.23	$11,443.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.65 / $811.20 / $981.34	Professional		$586.65	$811.20	$981.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,338.66 / $2,610.83	Facility		$875.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.04 / $701.24 / $1,033.50	Professional		$476.04	$701.24	$1,033.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $544.27 / $818.11 / $1,792.88	Professional		$544.27	$818.11	$1,792.88
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 $546.34 / $607.74 / $680.86	Professional		$546.34	$607.74	$680.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $769.90	Professional		$32.34	$32.34	$769.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,493.00 / $6,482.00	Facility		$1,499.00	$3,493.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.97 / $616.07 / $1,054.85	Professional		$459.97	$616.07	$1,054.85