Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,731.00 / $5,389.00	Facility		$624.00	$1,731.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.23 / $559.34 / $1,062.58	Professional		$489.23	$559.34	$1,062.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,647.22 / $5,855.97 / $12,772.61	Facility		$2,647.22	$5,855.97	$12,772.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.95 / $911.09 / $1,067.42	Professional		$285.95	$911.09	$1,067.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,799.73 / $2,009.18	Facility		$463.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.72 / $818.79 / $1,164.93	Professional		$548.72	$818.79	$1,164.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $627.84 / $948.86 / $2,763.97	Professional		$627.84	$948.86	$2,763.97
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 $696.62 / $725.60 / $788.46	Professional		$696.62	$725.60	$788.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $891.57	Professional		$32.34	$32.34	$891.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $518.39 / $751.64 / $1,260.99	Professional		$518.39	$751.64	$1,260.99