Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,731.00 / $5,091.00	Facility		$755.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.39 / $607.26 / $1,041.90	Professional		$523.39	$607.26	$1,041.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,471.09 / $5,059.93 / $11,756.44	Facility		$2,471.09	$5,059.93	$11,756.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.26 / $829.37 / $1,035.76	Professional		$692.26	$829.37	$1,035.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $646.51 / $2,720.17	Facility		$400.00	$646.51	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.90 / $824.81 / $1,205.58	Professional		$526.90	$824.81	$1,205.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $592.83 / $943.85 / $2,341.67	Professional		$592.83	$943.85	$2,341.67
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 $661.53 / $733.98 / $824.88	Professional		$661.53	$733.98	$824.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $932.74	Professional		$32.34	$32.34	$932.74
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 $530.99 / $726.26 / $1,281.02	Professional		$530.99	$726.26	$1,281.02