Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.73 / $3,148.00 / $8,125.00	Facility		$847.73	$3,148.00	$8,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.03 / $469.34 / $847.73	Professional		$390.03	$469.34	$847.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,513.06 / $10,974.77	Facility		$3,878.08	$5,513.06	$10,974.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.97 / $778.46 / $947.35	Professional		$562.97	$778.46	$947.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $3,072.73 / $3,430.33	Facility		$1,383.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.83 / $678.52 / $973.82	Professional		$470.83	$678.52	$973.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $527.73 / $779.03 / $1,928.70	Professional		$527.73	$779.03	$1,928.70
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 $549.24 / $586.69 / $653.38	Professional		$549.24	$586.69	$653.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $738.82	Professional		$32.34	$32.34	$738.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.78 / $597.38 / $1,009.61	Professional		$432.78	$597.38	$1,009.61