Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,758.00 / $5,580.00	Facility		$813.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.13 / $457.20 / $844.03	Professional		$400.13	$457.20	$844.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,876.24 / $5,442.83 / $10,319.45	Facility		$3,876.24	$5,442.83	$10,319.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.62 / $714.36 / $875.11	Professional		$516.62	$714.36	$875.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,713.32 / $3,029.10	Facility		$875.00	$2,713.32	$3,029.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.09 / $622.65 / $952.36	Professional		$354.09	$622.65	$952.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $429.54 / $712.88 / $1,952.24	Professional		$429.54	$712.88	$1,952.24
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 $531.82 / $541.96 / $599.59	Professional		$531.82	$541.96	$599.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $677.99	Professional		$32.34	$32.34	$677.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,493.00 / $6,482.00	Facility		$1,600.00	$3,493.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.72 / $557.57 / $978.53	Professional		$407.72	$557.57	$978.53