Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.02 / $2,462.00 / $5,580.00	Facility		$653.02	$2,462.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.29 / $653.02 / $1,029.31	Professional		$457.29	$653.02	$1,029.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,495.32 / $5,794.29 / $10,457.45	Facility		$4,495.32	$5,794.29	$10,457.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.69 / $809.46 / $1,020.68	Professional		$520.69	$809.46	$1,020.68
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 $443.93 / $685.54 / $1,050.67	Professional		$443.93	$685.54	$1,050.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.81 / $792.65 / $1,727.72	Professional		$457.81	$792.65	$1,727.72
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 $547.91 / $557.00 / $767.35	Professional		$547.91	$557.00	$767.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $867.70	Professional		$32.34	$32.34	$867.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.60 / $673.39 / $1,220.30	Professional		$519.60	$673.39	$1,220.30