Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,731.00 / $5,091.00	Facility		$624.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.85 / $377.53 / $651.99	Professional		$314.85	$377.53	$651.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.73 / $4,047.44 / $8,827.99	Facility		$2,118.73	$4,047.44	$8,827.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.03 / $627.82 / $763.44	Professional		$454.03	$627.82	$763.44
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 $381.42 / $547.21 / $781.06	Professional		$381.42	$547.21	$781.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $430.01 / $648.54 / $1,546.58	Professional		$430.01	$648.54	$1,546.58
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 $446.38 / $472.80 / $526.94	Professional		$446.38	$472.80	$526.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $595.85	Professional		$32.34	$32.34	$595.85
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 $340.46 / $491.15 / $766.77	Professional		$340.46	$491.15	$766.77