Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,755.00 / $5,549.00	Facility		$923.00	$2,755.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.53 / $625.80 / $1,036.70	Professional		$524.53	$625.80	$1,036.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,546.62 / $5,059.93 / $12,115.76	Facility		$2,546.62	$5,059.93	$12,115.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.40 / $854.71 / $1,067.32	Professional		$713.40	$854.71	$1,067.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $875.00 / $2,720.17	Facility		$579.00	$875.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.92 / $850.28 / $1,216.35	Professional		$548.92	$850.28	$1,216.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $612.66 / $972.68 / $2,245.59	Professional		$612.66	$972.68	$2,245.59
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 $682.27 / $756.34 / $850.07	Professional		$682.27	$756.34	$850.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $961.23	Professional		$32.34	$32.34	$961.23
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 $532.03 / $737.74 / $1,248.80	Professional		$532.03	$737.74	$1,248.80