Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,731.00 / $5,091.00	Facility		$630.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.13 / $580.16 / $1,037.52	Professional		$476.13	$580.16	$1,037.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,687.00 / $6,219.95 / $13,566.49	Facility		$2,687.00	$6,219.95	$13,566.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.00 / $815.84 / $992.75	Professional		$590.00	$815.84	$992.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,799.73 / $2,009.18	Facility		$875.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.97 / $817.99 / $1,182.09	Professional		$524.97	$817.99	$1,182.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $650.66 / $973.68 / $2,343.42	Professional		$650.66	$973.68	$2,343.42
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 $674.95 / $723.31 / $805.60	Professional		$674.95	$723.31	$805.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $910.94	Professional		$32.34	$32.34	$910.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,435.00 / $4,780.00	Facility		$1,183.00	$2,435.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.34 / $677.54 / $1,239.80	Professional		$514.34	$677.54	$1,239.80