Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $1,678.00 / $5,389.00	Facility		$676.00	$1,678.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.87 / $495.08 / $875.04	Professional		$353.87	$495.08	$875.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,088.02 / $7,791.13 / $10,791.55	Facility		$4,088.02	$7,791.13	$10,791.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.08 / $817.32 / $1,080.50	Professional		$484.08	$817.32	$1,080.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $5,676.58 / $6,337.22	Facility		$875.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $648.26 / $981.32	Professional		$400.00	$648.26	$981.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $445.56 / $795.77 / $2,022.47	Professional		$445.56	$795.77	$2,022.47
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 $479.74 / $506.17 / $744.65	Professional		$479.74	$506.17	$744.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $842.03	Professional		$32.34	$32.34	$842.03
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 $466.58 / $640.33 / $1,062.97	Professional		$466.58	$640.33	$1,062.97