Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.72 / $2,118.00 / $7,563.21	Facility		$604.72	$2,118.00	$7,563.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.82 / $745.72 / $1,510.45	Professional		$316.82	$745.72	$1,510.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.66 / $4,563.85 / $7,822.74	Facility		$2,041.66	$4,563.85	$7,822.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.75 / $979.59 / $1,675.66	Professional		$480.75	$979.59	$1,675.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.72 / $712.04 / $1,642.58	Professional		$363.72	$712.04	$1,642.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $422.68 / $1,254.98 / $2,735.50	Professional		$422.68	$1,254.98	$2,735.50
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 $489.72 / $499.53 / $1,254.98	Professional		$489.72	$499.53	$1,254.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,448.06	Professional		$32.34	$32.34	$1,448.06
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $795.71 / $1,140.52 / $2,028.61	Professional		$795.71	$1,140.52	$2,028.61