Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,766.11 / $5,091.00	Facility		$624.00	$1,766.11	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.23 / $544.57 / $945.27	Professional		$423.23	$544.57	$945.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,585.21 / $5,701.38 / $12,435.43	Facility		$2,585.21	$5,701.38	$12,435.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.02 / $887.60 / $983.07	Professional		$685.02	$887.60	$983.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,799.73 / $2,009.18	Facility		$620.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.03 / $768.14 / $1,065.16	Professional		$449.03	$768.14	$1,065.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $514.04 / $873.89 / $2,360.37	Professional		$514.04	$873.89	$2,360.37
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 $579.35 / $668.27 / $768.14	Professional		$579.35	$668.27	$768.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $868.59	Professional		$32.34	$32.34	$868.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.49 / $650.95 / $1,153.08	Professional		$448.49	$650.95	$1,153.08