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 $473.47 / $571.03 / $996.34	Professional		$473.47	$571.03	$996.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,290.98 / $13,352.69	Facility		$3,889.58	$6,290.98	$13,352.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.53 / $946.55 / $1,151.36	Professional		$684.53	$946.55	$1,151.36
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 $555.74 / $811.75 / $1,161.14	Professional		$555.74	$811.75	$1,161.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $639.47 / $935.03 / $2,220.27	Professional		$639.47	$935.03	$2,220.27
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 $664.34 / $713.04 / $794.47	Professional		$664.34	$713.04	$794.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $898.36	Professional		$32.34	$32.34	$898.36
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 $510.54 / $708.47 / $1,223.70	Professional		$510.54	$708.47	$1,223.70