Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.79 / $2,989.00 / $7,125.00	Facility		$901.79	$2,989.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.60 / $547.24 / $1,081.53	Professional		$476.60	$547.24	$1,081.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,347.63 / $7,107.01 / $12,826.63	Facility		$3,347.63	$7,107.01	$12,826.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.38 / $904.24 / $1,065.28	Professional		$672.38	$904.24	$1,065.28
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 $564.69 / $798.51 / $1,151.67	Professional		$564.69	$798.51	$1,151.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $589.77 / $919.18 / $5,596.84	Professional		$589.77	$919.18	$5,596.84
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 $644.80 / $697.00 / $768.94	Professional		$644.80	$697.00	$768.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $887.24	Professional		$32.34	$32.34	$887.24
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 $565.88 / $826.37 / $1,400.77	Professional		$565.88	$826.37	$1,400.77