Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.29 / $1,609.00 / $5,549.00	Facility		$649.29	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.99 / $649.29 / $1,234.98	Professional		$569.99	$649.29	$1,234.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,971.95 / $8,496.16 / $17,013.56	Facility		$3,971.95	$8,496.16	$17,013.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.04 / $1,077.27 / $1,279.39	Professional		$801.04	$1,077.27	$1,279.39
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 $672.64 / $954.63 / $1,363.49	Professional		$672.64	$954.63	$1,363.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $708.29 / $1,088.57 / $2,819.17	Professional		$708.29	$1,088.57	$2,819.17
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 $789.17 / $837.07 / $916.07	Professional		$789.17	$837.07	$916.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,057.01	Professional		$32.34	$32.34	$1,057.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,303.00 / $3,624.00 / $6,514.00	Facility		$1,303.00	$3,624.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.58 / $941.70 / $1,717.68	Professional		$671.58	$941.70	$1,717.68