Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,745.65 / $5,091.00	Facility		$755.00	$1,745.65	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.85 / $641.00 / $1,150.01	Professional		$587.85	$641.00	$1,150.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,592.23 / $5,814.70 / $12,332.80	Facility		$2,592.23	$5,814.70	$12,332.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.90 / $858.86 / $1,073.48	Professional		$718.90	$858.86	$1,073.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $701.32 / $2,713.32	Facility		$400.00	$701.32	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.16 / $887.06 / $1,364.63	Professional		$600.16	$887.06	$1,364.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $657.42 / $1,016.01 / $2,194.73	Professional		$657.42	$1,016.01	$2,194.73
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 $736.80 / $776.95 / $854.20	Professional		$736.80	$776.95	$854.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $965.91	Professional		$32.34	$32.34	$965.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $614.79 / $835.82 / $1,390.51	Professional		$614.79	$835.82	$1,390.51