Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,694.00 / $5,389.00	Facility		$600.00	$1,694.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.77 / $485.15 / $907.14	Professional		$402.77	$485.15	$907.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,430.97 / $5,517.93 / $11,344.63	Facility		$3,430.97	$5,517.93	$11,344.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.97 / $808.88 / $983.78	Professional		$584.97	$808.88	$983.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,338.66 / $2,610.83	Facility		$875.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.75 / $702.98 / $992.26	Professional		$479.75	$702.98	$992.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $535.21 / $820.16 / $1,937.75	Professional		$535.21	$820.16	$1,937.75
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 $568.57 / $609.26 / $678.91	Professional		$568.57	$609.26	$678.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $767.69	Professional		$32.34	$32.34	$767.69
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.27 / $612.20 / $1,027.44	Professional		$434.27	$612.20	$1,027.44