Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,157.00 / $5,493.00	Facility		$711.00	$2,157.00	$5,493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.47 / $421.76 / $1,060.86	Professional		$358.47	$421.76	$1,060.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,420.83 / $4,911.89 / $9,830.66	Facility		$3,420.83	$4,911.89	$9,830.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.92 / $696.80 / $844.86	Professional		$503.92	$696.80	$844.86
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 $410.88 / $603.72 / $889.07	Professional		$410.88	$603.72	$889.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $472.37 / $704.34 / $1,566.50	Professional		$472.37	$704.34	$1,566.50
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 $476.57 / $523.22 / $584.84	Professional		$476.57	$523.22	$584.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $661.32	Professional		$32.34	$32.34	$661.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,715.00 / $6,514.00	Facility		$1,499.00	$3,715.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.94 / $532.49 / $907.77	Professional		$377.94	$532.49	$907.77