Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.05 / $1,486.00 / $4,634.00	Facility		$601.05	$1,486.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.33 / $562.41 / $1,077.05	Professional		$322.33	$562.41	$1,077.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,476.88 / $7,091.59 / $10,470.17	Facility		$3,476.88	$7,091.59	$10,470.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.19 / $609.41 / $1,042.10	Professional		$443.19	$609.41	$1,042.10
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 $365.65 / $651.78 / $1,201.03	Professional		$365.65	$651.78	$1,201.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $458.03 / $866.54 / $3,261.26	Professional		$458.03	$866.54	$3,261.26
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 $438.18 / $448.44 / $821.76	Professional		$438.18	$448.44	$821.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $929.22	Professional		$32.34	$32.34	$929.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $612.79 / $872.86 / $1,481.30	Professional		$612.79	$872.86	$1,481.30