Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.43 / $2,385.00 / $5,580.00	Facility		$690.43	$2,385.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.80 / $690.43 / $1,083.40	Professional		$455.80	$690.43	$1,083.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,726.01 / $4,769.49 / $10,402.86	Facility		$2,726.01	$4,769.49	$10,402.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.86 / $810.04 / $1,071.99	Professional		$522.86	$810.04	$1,071.99
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 $444.20 / $700.18 / $1,107.72	Professional		$444.20	$700.18	$1,107.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $819.57 / $1,642.82	Professional		$459.00	$819.57	$1,642.82
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 $550.34 / $557.40 / $809.00	Professional		$550.34	$557.40	$809.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $914.80	Professional		$32.34	$32.34	$914.80
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 $557.69 / $725.18 / $1,287.11	Professional		$557.69	$725.18	$1,287.11