Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.79 / $3,148.00 / $10,073.00	Facility		$857.79	$3,148.00	$10,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.63 / $635.12 / $1,059.02	Professional		$485.63	$635.12	$1,059.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,629.85 / $10,494.72 / $17,782.11	Facility		$4,629.85	$10,494.72	$17,782.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.01 / $747.67 / $874.33	Professional		$631.01	$747.67	$874.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $12,731.00 / $28,989.00	Facility		$875.00	$12,731.00	$28,989.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.08 / $785.82 / $1,250.61	Professional		$560.08	$785.82	$1,250.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $538.74 / $857.79 / $2,701.77	Professional		$538.74	$857.79	$2,701.77
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 $580.84 / $655.95 / $732.36	Professional		$580.84	$655.95	$732.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $828.12	Professional		$32.34	$32.34	$828.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,655.00 / $12,190.00 / $35,962.00	Facility		$2,655.00	$12,190.00	$35,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.04 / $786.90 / $1,313.77	Professional		$546.04	$786.90	$1,313.77