Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.18 / $1,169.00 / $4,634.00	Facility		$720.18	$1,169.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.41 / $505.33 / $951.10	Professional		$421.41	$505.33	$951.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $5,417.62 / $11,816.51	Facility		$2,202.15	$5,417.62	$11,816.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.08 / $839.45 / $1,021.04	Professional		$607.08	$839.45	$1,021.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,631.14 / $1,820.98	Facility		$463.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.90 / $713.92 / $1,029.77	Professional		$486.90	$713.92	$1,029.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $552.17 / $829.23 / $2,026.49	Professional		$552.17	$829.23	$2,026.49
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 $597.13 / $632.33 / $704.57	Professional		$597.13	$632.33	$704.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $796.71	Professional		$32.34	$32.34	$796.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,465.00 / $4,780.00	Facility		$1,095.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.98 / $625.49 / $1,064.35	Professional		$455.98	$625.49	$1,064.35