Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.54 / $2,747.00 / $8,167.00	Facility		$769.54	$2,747.00	$8,167.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.90 / $640.16 / $1,192.40	Professional		$501.90	$640.16	$1,192.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,540.77 / $6,164.80 / $13,566.64	Facility		$3,540.77	$6,164.80	$13,566.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.34 / $953.95 / $1,120.69	Professional		$709.34	$953.95	$1,120.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.54 / $842.40 / $1,110.72	Professional		$527.54	$842.40	$1,110.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $620.42 / $958.85 / $2,468.19	Professional		$620.42	$958.85	$2,468.19
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 $694.08 / $733.24 / $811.20	Professional		$694.08	$733.24	$811.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $936.00	Professional		$32.34	$32.34	$936.00
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 $537.47 / $780.54 / $1,213.24	Professional		$537.47	$780.54	$1,213.24