Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $2,265.00 / $5,430.00	Facility		$630.00	$2,265.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $517.50 / $517.50	Professional		$517.50	$517.50	$517.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,697.84 / $5,770.80 / $11,556.02	Facility		$2,697.84	$5,770.80	$11,556.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.04 / $727.67 / $837.75	Professional		$543.04	$727.67	$837.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,643.00 / $15,148.00	Facility		$709.00	$6,643.00	$15,148.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $375.00 / $925.29	Professional		$200.00	$375.00	$925.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $490.74 / $756.05 / $2,093.50	Professional		$490.74	$756.05	$2,093.50
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 $561.55 / $579.97 / $630.25	Professional		$561.55	$579.97	$630.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $893.36 / $918.15 / $2,500.00	Professional		$893.36	$918.15	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00