Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.58 / $1,476.00 / $5,389.00	Facility		$668.58	$1,476.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.91 / $686.41 / $1,054.85	Professional		$550.91	$686.41	$1,054.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.39 / $6,298.39 / $13,737.59	Facility		$3,019.39	$6,298.39	$13,737.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $678.77 / $962.00 / $1,050.94	Professional		$678.77	$962.00	$1,050.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.59 / $787.78 / $1,151.36	Professional		$582.59	$787.78	$1,151.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $536.28 / $908.99 / $2,949.05	Professional		$536.28	$908.99	$2,949.05
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 $717.70 / $723.16 / $787.79	Professional		$717.70	$723.16	$787.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $890.81	Professional		$32.34	$32.34	$890.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $3,581.00 / $6,514.00	Facility		$1,165.00	$3,581.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.73 / $700.46 / $1,228.99	Professional		$543.73	$700.46	$1,228.99