Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $1,365.00 / $5,091.00	Facility		$538.00	$1,365.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.64 / $406.48 / $758.69	Professional		$346.64	$406.48	$758.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,876.24 / $5,266.60 / $9,505.08	Facility		$3,876.24	$5,266.60	$9,505.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.49 / $663.02 / $814.69	Professional		$479.49	$663.02	$814.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $2,713.32 / $3,029.10	Facility		$463.00	$2,713.32	$3,029.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.59 / $577.89 / $854.80	Professional		$370.59	$577.89	$854.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.91 / $659.77 / $4,071.10	Professional		$426.91	$659.77	$4,071.10
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 $487.07 / $504.53 / $556.49	Professional		$487.07	$504.53	$556.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $629.26	Professional		$32.34	$32.34	$629.26
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 $380.87 / $515.37 / $893.11	Professional		$380.87	$515.37	$893.11