Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,118.00 / $5,393.00	Facility		$813.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.77 / $664.48 / $1,156.16	Professional		$567.77	$664.48	$1,156.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,703.97 / $5,059.93 / $12,864.37	Facility		$2,703.97	$5,059.93	$12,864.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $755.59 / $905.25 / $1,130.79	Professional		$755.59	$905.25	$1,130.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $709.00 / $2,720.17	Facility		$450.00	$709.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.20 / $886.48 / $1,312.81	Professional		$564.20	$886.48	$1,312.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $633.94 / $1,030.18 / $3,040.59	Professional		$633.94	$1,030.18	$3,040.59
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 $716.63 / $801.32 / $900.33	Professional		$716.63	$801.32	$900.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,018.06	Professional		$32.34	$32.34	$1,018.06
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 $582.27 / $788.00 / $1,401.70	Professional		$582.27	$788.00	$1,401.70