Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $1,972.00 / $5,389.00	Facility		$676.00	$1,972.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.08 / $532.04 / $950.17	Professional		$426.08	$532.04	$950.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $5,703.87 / $12,440.87	Facility		$2,202.15	$5,703.87	$12,440.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.54 / $884.34 / $1,075.89	Professional		$639.54	$884.34	$1,075.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,631.14 / $1,820.98	Facility		$875.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.58 / $742.25 / $1,016.32	Professional		$483.58	$742.25	$1,016.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $574.71 / $871.32 / $2,705.61	Professional		$574.71	$871.32	$2,705.61
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 $624.82 / $666.30 / $742.25	Professional		$624.82	$666.30	$742.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $839.31	Professional		$32.34	$32.34	$839.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.08 / $616.47 / $1,132.74	Professional		$451.08	$616.47	$1,132.74