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 $403.18 / $489.67 / $870.24	Professional		$403.18	$489.67	$870.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,721.12 / $11,450.24	Facility		$3,878.08	$5,721.12	$11,450.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.16 / $813.30 / $989.58	Professional		$588.16	$813.30	$989.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.28 / $682.62 / $997.68	Professional		$446.28	$682.62	$997.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $532.28 / $801.41 / $2,491.92	Professional		$532.28	$801.41	$2,491.92
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 $576.64 / $612.85 / $682.63	Professional		$576.64	$612.85	$682.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $771.90	Professional		$32.34	$32.34	$771.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.69 / $593.41 / $1,039.50	Professional		$440.69	$593.41	$1,039.50