Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.72 / $1,848.00 / $5,549.00	Facility		$752.72	$1,848.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.15 / $752.72 / $1,221.65	Professional		$632.15	$752.72	$1,221.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,331.44 / $7,126.08 / $14,269.97	Facility		$3,331.44	$7,126.08	$14,269.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.88 / $893.26 / $1,043.83	Professional		$753.88	$893.26	$1,043.83
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 $668.66 / $963.84 / $1,448.85	Professional		$668.66	$963.84	$1,448.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $632.52 / $1,029.75 / $2,561.26	Professional		$632.52	$1,029.75	$2,561.26
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 $668.75 / $783.12 / $874.95	Professional		$668.75	$783.12	$874.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $989.37	Professional		$32.34	$32.34	$989.37
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.16 / $1,009.12 / $1,588.15	Professional		$669.16	$1,009.12	$1,588.15