Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,357.00 / $4,634.00	Facility		$600.00	$1,357.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.11 / $511.86 / $940.26	Professional		$455.11	$511.86	$940.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $5,470.57 / $11,932.01	Facility		$2,202.15	$5,470.57	$11,932.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.59 / $922.93 / $1,122.04	Professional		$612.59	$922.93	$1,122.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,631.14 / $1,820.98	Facility		$620.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.68 / $738.32 / $1,090.32	Professional		$511.68	$738.32	$1,090.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $577.23 / $859.01 / $2,031.86	Professional		$577.23	$859.01	$2,031.86
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 $602.60 / $638.12 / $774.64	Professional		$602.60	$638.12	$774.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $879.74	Professional		$32.34	$32.34	$879.74
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.82 / $673.35 / $1,171.83	Professional		$501.82	$673.35	$1,171.83