Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.77 / $3,093.00 / $9,463.00	Facility		$791.77	$3,093.00	$9,463.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.69 / $489.95 / $1,002.44	Professional		$409.69	$489.95	$1,002.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,168.48 / $4,638.47 / $9,288.54	Facility		$2,168.48	$4,638.47	$9,288.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.00 / $584.00 / $679.65	Professional		$488.00	$584.00	$679.65
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 $435.37 / $686.44 / $1,257.59	Professional		$435.37	$686.44	$1,257.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $411.20 / $673.23 / $2,570.01	Professional		$411.20	$673.23	$2,570.01
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 $424.09 / $509.90 / $572.03	Professional		$424.09	$509.90	$572.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $646.83	Professional		$32.34	$32.34	$646.83
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 $423.69 / $789.55 / $1,135.11	Professional		$423.69	$789.55	$1,135.11