Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.36 / $1,495.89 / $5,389.00	Facility		$667.36	$1,495.89	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.19 / $654.62 / $1,046.66	Professional		$436.19	$654.62	$1,046.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.70 / $4,590.26 / $10,011.94	Facility		$2,796.70	$4,590.26	$10,011.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.17 / $776.75 / $1,043.70	Professional		$500.17	$776.75	$1,043.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.41 / $669.80 / $1,078.56	Professional		$462.41	$669.80	$1,078.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $452.25 / $845.25 / $1,872.56	Professional		$452.25	$845.25	$1,872.56
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 $519.91 / $534.48 / $786.55	Professional		$519.91	$534.48	$786.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $889.41	Professional		$32.34	$32.34	$889.41
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 $576.09 / $763.30 / $1,284.22	Professional		$576.09	$763.30	$1,284.22