Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,694.00 / $5,389.00	Facility		$630.00	$1,694.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.25 / $526.08 / $995.41	Professional		$387.25	$526.08	$995.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,244.93 / $6,941.04 / $13,899.43	Facility		$3,244.93	$6,941.04	$13,899.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.13 / $871.60 / $901.10	Professional		$639.13	$871.60	$901.10
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 $525.29 / $770.31 / $1,074.22	Professional		$525.29	$770.31	$1,074.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $552.79 / $859.34 / $3,113.55	Professional		$552.79	$859.34	$3,113.55
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 $558.41 / $653.29 / $741.78	Professional		$558.41	$653.29	$741.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $855.90	Professional		$32.34	$32.34	$855.90
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,588.00 / $5,026.00	Facility		$749.00	$2,588.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.59 / $709.14 / $1,158.16	Professional		$477.59	$709.14	$1,158.16