Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.66 / $1,609.00 / $5,549.00	Facility		$560.66	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.78 / $560.98 / $1,219.79	Professional		$470.78	$560.98	$1,219.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,481.48 / $5,308.00 / $10,629.27	Facility		$2,481.48	$5,308.00	$10,629.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.38 / $663.44 / $965.16	Professional		$554.38	$663.44	$965.16
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 $496.80 / $799.81 / $1,315.89	Professional		$496.80	$799.81	$1,315.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $469.95 / $764.96 / $2,629.49	Professional		$469.95	$764.96	$2,629.49
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 $497.22 / $581.84 / $649.84	Professional		$497.22	$581.84	$649.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $734.82	Professional		$32.34	$32.34	$734.82
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 $629.51 / $954.43 / $1,679.48	Professional		$629.51	$954.43	$1,679.48