Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.95 / $1,358.14 / $5,389.00	Facility		$536.95	$1,358.14	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.76 / $774.35 / $1,454.50	Professional		$346.76	$774.35	$1,454.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,536.16 / $5,213.14 / $9,717.45	Facility		$2,536.16	$5,213.14	$9,717.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.77 / $900.24 / $1,852.52	Professional		$418.77	$900.24	$1,852.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.56 / $689.87 / $1,474.01	Professional		$374.56	$689.87	$1,474.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $468.72 / $1,173.80 / $2,825.14	Professional		$468.72	$1,173.80	$2,825.14
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 $404.24 / $435.24 / $1,122.02	Professional		$404.24	$435.24	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,294.64	Professional		$32.34	$32.34	$1,294.64
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $868.44 / $1,280.02 / $1,972.42	Professional		$868.44	$1,280.02	$1,972.42