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 $364.78 / $427.20 / $765.16	Professional		$364.78	$427.20	$765.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.73 / $4,580.53 / $9,990.73	Facility		$2,118.73	$4,580.53	$9,990.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.99 / $710.74 / $864.95	Professional		$513.99	$710.74	$864.95
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 $436.33 / $633.25 / $909.24	Professional		$436.33	$633.25	$909.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $493.97 / $734.21 / $1,729.49	Professional		$493.97	$734.21	$1,729.49
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 $500.29 / $535.66 / $596.54	Professional		$500.29	$535.66	$596.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $674.55	Professional		$32.34	$32.34	$674.55
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 $392.68 / $542.29 / $913.73	Professional		$392.68	$542.29	$913.73