Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,660.00 / $5,549.00	Facility		$813.00	$2,660.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.95 / $526.04 / $990.16	Professional		$444.95	$526.04	$990.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,287.62 / $8,139.91 / $12,300.58	Facility		$5,287.62	$8,139.91	$12,300.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.25 / $864.58 / $926.37	Professional		$625.25	$864.58	$926.37
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 $511.68 / $753.58 / $1,101.26	Professional		$511.68	$753.58	$1,101.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $586.12 / $867.59 / $3,209.07	Professional		$586.12	$867.59	$3,209.07
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 $628.29 / $659.57 / $725.67	Professional		$628.29	$659.57	$725.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $820.57	Professional		$32.34	$32.34	$820.57
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 $489.05 / $677.27 / $1,133.31	Professional		$489.05	$677.27	$1,133.31