Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,095.00 / $5,393.00	Facility		$711.00	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.06 / $515.79 / $926.31	Professional		$429.06	$515.79	$926.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $5,918.93 / $12,074.02	Facility		$3,889.58	$5,918.93	$12,074.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $618.91 / $855.82 / $1,041.09	Professional		$618.91	$855.82	$1,041.09
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 $517.65 / $759.75 / $1,081.57	Professional		$517.65	$759.75	$1,081.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $582.96 / $867.93 / $2,348.85	Professional		$582.96	$867.93	$2,348.85
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 $603.97 / $644.75 / $718.32	Professional		$603.97	$644.75	$718.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $812.25	Professional		$32.34	$32.34	$812.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.06 / $653.80 / $1,087.99	Professional		$476.06	$653.80	$1,087.99