Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.57 / $1,758.00 / $5,393.00	Facility		$574.57	$1,758.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.48 / $574.57 / $1,095.68	Professional		$417.48	$574.57	$1,095.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,732.70 / $5,442.83 / $10,470.50	Facility		$2,732.70	$5,442.83	$10,470.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.72 / $752.20 / $1,140.83	Professional		$558.72	$752.20	$1,140.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.90 / $795.73 / $1,179.09	Professional		$498.90	$795.73	$1,179.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $555.15 / $929.54 / $3,054.77	Professional		$555.15	$929.54	$3,054.77
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 $562.08 / $589.62 / $873.00	Professional		$562.08	$589.62	$873.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,007.31	Professional		$32.34	$32.34	$1,007.31
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.26 / $908.98 / $1,440.82	Professional		$622.26	$908.98	$1,440.82