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 $394.98 / $464.23 / $828.13	Professional		$394.98	$464.23	$828.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,630.26 / $11,268.39	Facility		$3,878.08	$5,630.26	$11,268.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.88 / $799.08 / $971.65	Professional		$577.88	$799.08	$971.65
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 $462.67 / $694.32 / $985.22	Professional		$462.67	$694.32	$985.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $541.72 / $810.04 / $2,283.65	Professional		$541.72	$810.04	$2,283.65
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 $565.76 / $601.74 / $670.70	Professional		$565.76	$601.74	$670.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $758.40	Professional		$32.34	$32.34	$758.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.92 / $604.53 / $1,021.38	Professional		$439.92	$604.53	$1,021.38