Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,317.61 / $5,430.00	Facility		$755.00	$1,317.61	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.91 / $593.41 / $1,021.60	Professional		$514.91	$593.41	$1,021.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,983.93 / $6,504.48 / $13,025.22	Facility		$2,983.93	$6,504.48	$13,025.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.01 / $810.01 / $1,915.55	Professional		$810.01	$810.01	$1,915.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $630.51 / $908.00	Facility		$400.00	$630.51	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.15 / $793.22 / $1,175.99	Professional		$520.15	$793.22	$1,175.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $597.25 / $928.93 / $2,198.48	Professional		$597.25	$928.93	$2,198.48
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 $644.54 / $716.69 / $805.61	Professional		$644.54	$716.69	$805.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $910.96	Professional		$32.34	$32.34	$910.96
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.19 / $692.48 / $1,388.43	Professional		$519.19	$692.48	$1,388.43