Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.44 / $1,451.00 / $5,389.00	Facility		$615.44	$1,451.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.91 / $688.70 / $971.51	Professional		$541.91	$688.70	$971.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.39 / $5,797.89 / $12,645.93	Facility		$3,019.39	$5,797.89	$12,645.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.17 / $888.88 / $968.71	Professional		$627.17	$888.88	$968.71
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 $488.81 / $716.70 / $1,063.85	Professional		$488.81	$716.70	$1,063.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $494.08 / $826.99 / $2,639.23	Professional		$494.08	$826.99	$2,639.23
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 $663.75 / $666.59 / $727.90	Professional		$663.75	$666.59	$727.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $823.08	Professional		$32.34	$32.34	$823.08
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 $477.84 / $638.32 / $1,133.64	Professional		$477.84	$638.32	$1,133.64