Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,605.78 / $5,091.00	Facility		$600.00	$1,605.78	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.54 / $537.98 / $1,114.47	Professional		$402.54	$537.98	$1,114.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,207.34 / $7,831.58 / $10,914.88	Facility		$4,207.34	$7,831.58	$10,914.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.02 / $875.09 / $1,079.58	Professional		$512.02	$875.09	$1,079.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $5,676.58 / $6,337.22	Facility		$620.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.89 / $685.68 / $1,073.48	Professional		$434.89	$685.68	$1,073.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $497.82 / $797.15 / $1,740.73	Professional		$497.82	$797.15	$1,740.73
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 $529.88 / $543.55 / $734.49	Professional		$529.88	$543.55	$734.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $830.54	Professional		$32.34	$32.34	$830.54
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 $527.51 / $725.40 / $1,284.07	Professional		$527.51	$725.40	$1,284.07