Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,731.00 / $5,091.00	Facility		$630.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.69 / $529.51 / $985.82	Professional		$428.69	$529.51	$985.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,022.42 / $12,381.83	Facility		$3,889.58	$6,022.42	$12,381.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.21 / $876.96 / $1,058.92	Professional		$634.21	$876.96	$1,058.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.53 / $756.68 / $1,090.26	Professional		$519.53	$756.68	$1,090.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $600.29 / $877.61 / $2,251.06	Professional		$600.29	$877.61	$2,251.06
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 $584.55 / $655.79 / $736.06	Professional		$584.55	$655.79	$736.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $832.31	Professional		$32.34	$32.34	$832.31
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 $485.09 / $666.80 / $1,137.58	Professional		$485.09	$666.80	$1,137.58