Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.55 / $2,385.00 / $5,549.00	Facility		$678.55	$2,385.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.17 / $678.55 / $1,043.93	Professional		$426.17	$678.55	$1,043.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.70 / $4,523.37 / $9,743.54	Facility		$2,796.70	$4,523.37	$9,743.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.68 / $758.54 / $1,046.11	Professional		$489.68	$758.54	$1,046.11
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 $450.81 / $679.11 / $1,082.09	Professional		$450.81	$679.11	$1,082.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $442.98 / $847.21 / $1,865.05	Professional		$442.98	$847.21	$1,865.05
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 $514.25 / $521.96 / $790.30	Professional		$514.25	$521.96	$790.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $893.64	Professional		$32.34	$32.34	$893.64
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 $562.94 / $758.54 / $1,261.17	Professional		$562.94	$758.54	$1,261.17