Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,442.87 / $5,430.00	Facility		$755.00	$1,442.87	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.14 / $651.53 / $1,125.29	Professional		$560.14	$651.53	$1,125.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,290.07 / $3,338.66 / $12,613.70	Facility		$1,290.07	$3,338.66	$12,613.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.03 / $886.60 / $1,107.52	Professional		$740.03	$886.60	$1,107.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $691.19 / $908.00	Facility		$400.00	$691.19	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.14 / $880.53 / $1,290.81	Professional		$574.14	$880.53	$1,290.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $644.39 / $1,008.97 / $2,596.00	Professional		$644.39	$1,008.97	$2,596.00
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 $704.85 / $784.82 / $881.79	Professional		$704.85	$784.82	$881.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $997.10	Professional		$32.34	$32.34	$997.10
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.16 / $808.49 / $1,401.54	Professional		$578.16	$808.49	$1,401.54