Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,972.00 / $5,389.00	Facility		$711.00	$1,972.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.94 / $522.74 / $994.70	Professional		$403.94	$522.74	$994.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,290.98 / $13,460.02	Facility		$3,889.58	$6,290.98	$13,460.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.37 / $960.15 / $1,132.53	Professional		$694.37	$960.15	$1,132.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.34 / $731.72 / $1,103.44	Professional		$506.34	$731.72	$1,103.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $591.57 / $917.18 / $2,057.28	Professional		$591.57	$917.18	$2,057.28
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 $611.57 / $701.38 / $805.88	Professional		$611.57	$701.38	$805.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $911.27	Professional		$32.34	$32.34	$911.27
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 $448.55 / $643.00 / $1,200.86	Professional		$448.55	$643.00	$1,200.86