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 $432.10 / $519.86 / $930.48	Professional		$432.10	$519.86	$930.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $5,921.13 / $12,156.13	Facility		$3,889.58	$5,921.13	$12,156.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.37 / $861.98 / $1,048.47	Professional		$623.37	$861.98	$1,048.47
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 $521.32 / $751.31 / $1,070.54	Professional		$521.32	$751.31	$1,070.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $584.35 / $854.09 / $2,111.61	Professional		$584.35	$854.09	$2,111.61
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 $608.78 / $649.30 / $723.48	Professional		$608.78	$649.30	$723.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $818.08	Professional		$32.34	$32.34	$818.08
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 $478.50 / $644.49 / $1,107.63	Professional		$478.50	$644.49	$1,107.63