Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,758.00 / $5,580.00	Facility		$813.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.71 / $515.80 / $921.86	Professional		$428.71	$515.80	$921.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $5,918.93 / $12,061.41	Facility		$3,889.58	$5,918.93	$12,061.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $618.60 / $855.38 / $1,040.30	Professional		$618.60	$855.38	$1,040.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.61 / $743.38 / $1,054.58	Professional		$517.61	$743.38	$1,054.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $579.88 / $847.44 / $2,629.55	Professional		$579.88	$847.44	$2,629.55
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 $604.08 / $644.25 / $717.95	Professional		$604.08	$644.25	$717.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $811.84	Professional		$32.34	$32.34	$811.84
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 $467.07 / $641.20 / $1,099.04	Professional		$467.07	$641.20	$1,099.04