Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.70 / $2,093.00 / $7,000.00	Facility		$664.70	$2,093.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.62 / $720.85 / $1,289.65	Professional		$553.62	$720.85	$1,289.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $5,981.45 / $13,046.31	Facility		$411.32	$5,981.45	$13,046.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.38 / $923.18 / $1,054.27	Professional		$651.38	$923.18	$1,054.27
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 $571.29 / $785.06 / $1,152.69	Professional		$571.29	$785.06	$1,152.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $516.51 / $853.81 / $2,863.17	Professional		$516.51	$853.81	$2,863.17
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 $686.58 / $696.31 / $788.68	Professional		$686.58	$696.31	$788.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $891.82	Professional		$32.34	$32.34	$891.82
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $963.00 / $3,686.00	Facility		$150.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $544.23 / $707.50 / $1,252.80	Professional		$544.23	$707.50	$1,252.80