Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.38 / $2,989.00 / $5,549.00	Facility		$712.38	$2,989.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.09 / $712.38 / $1,035.02	Professional		$598.09	$712.38	$1,035.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,152.89 / $6,744.16 / $13,505.18	Facility		$3,152.89	$6,744.16	$13,505.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.47 / $844.25 / $1,057.46	Professional		$705.47	$844.25	$1,057.46
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 $632.25 / $890.57 / $1,298.23	Professional		$632.25	$890.57	$1,298.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.37 / $973.26 / $2,811.44	Professional		$602.37	$973.26	$2,811.44
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 $638.91 / $740.47 / $826.96	Professional		$638.91	$740.47	$826.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $935.10	Professional		$32.34	$32.34	$935.10
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 $608.83 / $860.18 / $1,464.84	Professional		$608.83	$860.18	$1,464.84