Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,157.00 / $5,405.00	Facility		$755.00	$2,157.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.11 / $708.88 / $1,031.36	Professional		$560.11	$708.88	$1,031.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.39 / $5,881.79 / $12,828.93	Facility		$3,019.39	$5,881.79	$12,828.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.23 / $908.80 / $994.86	Professional		$641.23	$908.80	$994.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.61 / $761.39 / $1,087.70	Professional		$528.61	$761.39	$1,087.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $507.64 / $851.55 / $2,618.19	Professional		$507.64	$851.55	$2,618.19
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 $675.97 / $684.58 / $744.21	Professional		$675.97	$684.58	$744.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $841.53	Professional		$32.34	$32.34	$841.53
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $523.75 / $672.85 / $1,185.46	Professional		$523.75	$672.85	$1,185.46