Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.68 / $2,758.00 / $5,580.00	Facility		$877.68	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.49 / $593.74 / $1,000.70	Professional		$526.49	$593.74	$1,000.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,656.89 / $7,683.94 / $14,011.58	Facility		$3,656.89	$7,683.94	$14,011.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,097.15 / $1,097.15 / $1,097.15	Professional		$1,097.15	$1,097.15	$1,097.15
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 $573.07 / $765.84 / $1,088.38	Professional		$573.07	$765.84	$1,088.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $567.91 / $884.08 / $2,319.92	Professional		$567.91	$884.08	$2,319.92
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 $634.88 / $671.16 / $730.87	Professional		$634.88	$671.16	$730.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $843.32	Professional		$32.34	$32.34	$843.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,995.00	Facility		$1,690.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.08 / $801.55 / $1,461.35	Professional		$560.08	$801.55	$1,461.35