Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.01 / $1,842.00 / $5,549.00	Facility		$802.01	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.20 / $802.01 / $1,193.75	Professional		$608.20	$802.01	$1,193.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,549.59 / $6,102.69 / $13,600.45	Facility		$3,549.59	$6,102.69	$13,600.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.44 / $851.40 / $990.95	Professional		$711.44	$851.40	$990.95
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 $634.79 / $898.10 / $1,483.19	Professional		$634.79	$898.10	$1,483.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $607.34 / $943.60 / $2,543.77	Professional		$607.34	$943.60	$2,543.77
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 $631.96 / $743.44 / $833.95	Professional		$631.96	$743.44	$833.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $943.01	Professional		$32.34	$32.34	$943.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.02 / $917.24 / $1,607.26	Professional		$668.02	$917.24	$1,607.26