Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.08 / $2,118.00 / $5,549.00	Facility		$749.08	$2,118.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.53 / $522.47 / $1,026.96	Professional		$442.53	$522.47	$1,026.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $5,950.86 / $12,217.18	Facility		$3,889.58	$5,950.86	$12,217.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.58 / $869.19 / $1,057.26	Professional		$628.58	$869.19	$1,057.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,430.33 / $10,111.00	Facility		$709.00	$3,430.33	$10,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.46 / $744.79 / $1,090.43	Professional		$504.46	$744.79	$1,090.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $587.30 / $861.26 / $3,238.05	Professional		$587.30	$861.26	$3,238.05
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 $608.91 / $654.76 / $729.53	Professional		$608.91	$654.76	$729.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $824.93	Professional		$32.34	$32.34	$824.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,934.00 / $14,716.00	Facility		$2,575.00	$6,934.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.41 / $657.70 / $1,128.19	Professional		$492.41	$657.70	$1,128.19