Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.57 / $1,731.00 / $5,493.00	Facility		$756.57	$1,731.00	$5,493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.99 / $756.57 / $1,312.97	Professional		$670.99	$756.57	$1,312.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,134.57 / $7,674.92 / $17,854.16	Facility		$4,134.57	$7,674.92	$17,854.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.74 / $1,269.63 / $1,400.17	Professional		$851.74	$1,269.63	$1,400.17
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 $731.34 / $968.59 / $1,407.84	Professional		$731.34	$968.59	$1,407.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.76 / $1,147.95 / $3,362.31	Professional		$724.76	$1,147.95	$3,362.31
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 $809.58 / $856.53 / $932.71	Professional		$809.58	$856.53	$932.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,076.21	Professional		$32.34	$32.34	$1,076.21
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 $712.44 / $1,031.19 / $1,505.88	Professional		$712.44	$1,031.19	$1,505.88