Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,758.00 / $5,580.00	Facility		$879.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.67 / $613.62 / $1,129.00	Professional		$600.67	$613.62	$1,129.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,134.57 / $7,235.90 / $16,832.87	Facility		$4,134.57	$7,235.90	$16,832.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,256.56 / $1,256.56 / $1,256.56	Professional		$1,256.56	$1,256.56	$1,256.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.44 / $857.28 / $1,218.66	Professional		$625.44	$857.28	$1,218.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $636.44 / $990.55 / $2,486.48	Professional		$636.44	$990.55	$2,486.48
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 $709.77 / $752.15 / $818.90	Professional		$709.77	$752.15	$818.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $944.88	Professional		$32.34	$32.34	$944.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,874.00	Facility		$1,282.00	$3,751.00	$6,874.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.65 / $871.87 / $1,329.75	Professional		$628.65	$871.87	$1,329.75