Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.16 / $1,669.49 / $5,549.00	Facility		$588.16	$1,669.49	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.52 / $588.16 / $911.61	Professional		$491.52	$588.16	$911.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,603.15 / $5,568.24 / $11,150.40	Facility		$2,603.15	$5,568.24	$11,150.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.49 / $703.22 / $818.04	Professional		$593.49	$703.22	$818.04
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 $524.02 / $753.74 / $1,218.50	Professional		$524.02	$753.74	$1,218.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.90 / $802.55 / $2,004.92	Professional		$501.90	$802.55	$2,004.92
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 $529.28 / $613.72 / $688.81	Professional		$529.28	$613.72	$688.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $778.88	Professional		$32.34	$32.34	$778.88
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 $529.25 / $764.15 / $1,186.10	Professional		$529.25	$764.15	$1,186.10