Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,731.00 / $5,091.00	Facility		$630.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.91 / $535.63 / $960.70	Professional		$444.91	$535.63	$960.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,091.98 / $12,524.84	Facility		$3,889.58	$6,091.98	$12,524.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.11 / $889.27 / $1,081.53	Professional		$643.11	$889.27	$1,081.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.01 / $824.36 / $1,174.66	Professional		$545.01	$824.36	$1,174.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $617.67 / $941.58 / $2,174.98	Professional		$617.67	$941.58	$2,174.98
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 $625.79 / $669.80 / $746.38	Professional		$625.79	$669.80	$746.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $843.99	Professional		$32.34	$32.34	$843.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,803.00 / $8,995.00	Facility		$1,600.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.71 / $697.27 / $1,190.45	Professional		$496.71	$697.27	$1,190.45