Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,800.00 / $5,580.00	Facility		$879.00	$2,800.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.30 / $712.05 / $1,000.52	Professional		$567.30	$712.05	$1,000.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,088.53 / $5,972.13 / $13,025.97	Facility		$3,088.53	$5,972.13	$13,025.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.16 / $918.62 / $1,003.99	Professional		$648.16	$918.62	$1,003.99
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 $533.89 / $752.26 / $1,099.45	Professional		$533.89	$752.26	$1,099.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.36 / $867.99 / $2,436.51	Professional		$512.36	$867.99	$2,436.51
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 $685.22 / $690.86 / $752.26	Professional		$685.22	$690.86	$752.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $850.63	Professional		$32.34	$32.34	$850.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.10 / $673.79 / $1,195.08	Professional		$504.10	$673.79	$1,195.08