Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $2,368.00 / $7,407.00	Facility		$676.00	$2,368.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.74 / $735.98 / $883.20	Professional		$494.74	$735.98	$883.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,185.36 / $7,379.41 / $9,520.08	Facility		$6,185.36	$7,379.41	$9,520.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.70 / $986.70 / $1,201.20	Professional		$986.70	$986.70	$1,201.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.58 / $1,184.43 / $1,262.46	Professional		$988.58	$1,184.43	$1,262.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $661.84 / $1,158.30 / $1,716.00	Professional		$661.84	$1,158.30	$1,716.00
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 $1,015.34 / $1,023.63 / $1,115.40	Professional		$1,015.34	$1,023.63	$1,115.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $5,951.00 / $12,241.00	Facility		$1,400.00	$5,951.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $735.10 / $1,009.46 / $1,626.75	Professional		$735.10	$1,009.46	$1,626.75