Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,835.00 / $5,389.00	Facility		$720.00	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.50 / $514.75 / $982.00	Professional		$446.50	$514.75	$982.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,921.08 / $5,280.72 / $11,192.30	Facility		$2,921.08	$5,280.72	$11,192.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $618.20 / $787.60 / $1,000.47	Professional		$618.20	$787.60	$1,000.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.91 / $736.49 / $1,016.52	Professional		$493.91	$736.49	$1,016.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $540.10 / $834.70 / $2,026.49	Professional		$540.10	$834.70	$2,026.49
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 $575.52 / $638.29 / $717.48	Professional		$575.52	$638.29	$717.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $827.87	Professional		$32.34	$32.34	$827.87
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.68 / $678.23 / $1,111.86	Professional		$476.68	$678.23	$1,111.86