Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.90 / $1,285.00 / $4,944.00	Facility		$647.90	$1,285.00	$4,944.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.70 / $605.39 / $1,100.54	Professional		$408.70	$605.39	$1,100.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,513.06 / $10,889.51	Facility		$3,878.08	$5,513.06	$10,889.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.75 / $769.86 / $1,291.33	Professional		$556.75	$769.86	$1,291.33
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 $503.07 / $758.07 / $1,187.28	Professional		$503.07	$758.07	$1,187.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $615.16 / $950.21 / $2,517.10	Professional		$615.16	$950.21	$2,517.10
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 $562.52 / $589.16 / $882.34	Professional		$562.52	$589.16	$882.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $997.72	Professional		$32.34	$32.34	$997.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.41 / $806.93 / $1,419.78	Professional		$615.41	$806.93	$1,419.78