Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.37 / $1,758.00 / $5,393.00	Facility		$593.37	$1,758.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.52 / $579.50 / $985.22	Professional		$408.52	$579.50	$985.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,961.03 / $3,920.05 / $8,550.12	Facility		$1,961.03	$3,920.05	$8,550.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.57 / $675.76 / $991.17	Professional		$498.57	$675.76	$991.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.36 / $651.91 / $1,021.28	Professional		$440.36	$651.91	$1,021.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $495.60 / $827.10 / $3,333.92	Professional		$495.60	$827.10	$3,333.92
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 $511.89 / $536.74 / $795.02	Professional		$511.89	$536.74	$795.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $917.33	Professional		$32.34	$32.34	$917.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $2,465.00 / $4,780.00	Facility		$1,250.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.76 / $769.01 / $1,270.38	Professional		$546.76	$769.01	$1,270.38