Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.66 / $1,175.84 / $5,430.00	Facility		$676.66	$1,175.84	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.21 / $658.71 / $1,148.38	Professional		$409.21	$658.71	$1,148.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.52 / $7,831.58 / $11,469.87	Facility		$3,981.52	$7,831.58	$11,469.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.11 / $861.31 / $1,111.90	Professional		$548.11	$861.31	$1,111.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.39 / $787.26 / $1,196.64	Professional		$529.39	$787.26	$1,196.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $581.41 / $890.26 / $1,940.44	Professional		$581.41	$890.26	$1,940.44
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 $559.55 / $578.66 / $818.75	Professional		$559.55	$578.66	$818.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $944.72	Professional		$32.34	$32.34	$944.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.54 / $851.82 / $1,416.01	Professional		$634.54	$851.82	$1,416.01