Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,842.00 / $5,389.00	Facility		$630.00	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.52 / $491.23 / $895.47	Professional		$412.52	$491.23	$895.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,739.38 / $11,486.78	Facility		$3,878.08	$5,739.38	$11,486.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.02 / $815.85 / $993.94	Professional		$590.02	$815.85	$993.94
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 $497.99 / $710.25 / $1,018.45	Professional		$497.99	$710.25	$1,018.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $553.09 / $816.46 / $2,234.76	Professional		$553.09	$816.46	$2,234.76
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 $586.86 / $615.54 / $684.78	Professional		$586.86	$615.54	$684.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $774.32	Professional		$32.34	$32.34	$774.32
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 $454.52 / $612.11 / $1,046.84	Professional		$454.52	$612.11	$1,046.84