Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,118.00 / $5,405.00	Facility		$711.00	$2,118.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.64 / $458.02 / $898.82	Professional		$394.64	$458.02	$898.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,470.89 / $10,710.09	Facility		$3,878.08	$5,470.89	$10,710.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.16 / $760.74 / $928.51	Professional		$550.16	$760.74	$928.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.44 / $687.63 / $962.78	Professional		$464.44	$687.63	$962.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $530.79 / $789.35 / $2,488.30	Professional		$530.79	$789.35	$2,488.30
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 $542.33 / $575.03 / $638.51	Professional		$542.33	$575.03	$638.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $722.01	Professional		$32.34	$32.34	$722.01
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 $429.31 / $587.52 / $988.63	Professional		$429.31	$587.52	$988.63