Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.97 / $1,747.70 / $5,549.00	Facility		$617.97	$1,747.70	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.98 / $617.97 / $1,006.01	Professional		$518.98	$617.97	$1,006.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,735.06 / $5,850.40 / $11,715.42	Facility		$2,735.06	$5,850.40	$11,715.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.35 / $732.81 / $856.36	Professional		$612.35	$732.81	$856.36
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 $548.57 / $773.02 / $1,257.69	Professional		$548.57	$773.02	$1,257.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $523.91 / $840.16 / $2,146.63	Professional		$523.91	$840.16	$2,146.63
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 $548.61 / $642.47 / $717.80	Professional		$548.61	$642.47	$717.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $811.66	Professional		$32.34	$32.34	$811.66
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 $536.65 / $781.10 / $1,291.18	Professional		$536.65	$781.10	$1,291.18