Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,835.00 / $5,091.00	Facility		$630.00	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.92 / $520.91 / $862.14	Professional		$424.92	$520.91	$862.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $5,933.13 / $12,180.78	Facility		$3,889.58	$5,933.13	$12,180.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.40 / $850.96 / $1,034.14	Professional		$615.40	$850.96	$1,034.14
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 $492.74 / $735.18 / $1,039.68	Professional		$492.74	$735.18	$1,039.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.41 / $840.60 / $1,959.49	Professional		$549.41	$840.60	$1,959.49
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 $607.54 / $640.45 / $714.23	Professional		$607.54	$640.45	$714.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $809.69	Professional		$32.34	$32.34	$809.69
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 $440.06 / $610.66 / $1,042.24	Professional		$440.06	$610.66	$1,042.24