Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,731.00 / $5,091.00	Facility		$624.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.42 / $375.03 / $690.51	Professional		$311.42	$375.03	$690.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,769.73 / $8,353.39 / $12,138.23	Facility		$3,769.73	$8,353.39	$12,138.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.06 / $619.57 / $895.78	Professional		$448.06	$619.57	$895.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $6,831.39 / $7,626.43	Facility		$620.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.28 / $557.76 / $776.57	Professional		$377.28	$557.76	$776.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $424.10 / $644.52 / $2,169.56	Professional		$424.10	$644.52	$2,169.56
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 $399.72 / $463.31 / $520.03	Professional		$399.72	$463.31	$520.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $588.03	Professional		$32.34	$32.34	$588.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,951.00 / $8,584.00	Facility		$1,499.00	$3,951.00	$8,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.33 / $500.96 / $870.43	Professional		$354.33	$500.96	$870.43