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 $382.54 / $454.61 / $809.26	Professional		$382.54	$454.61	$809.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,445.42 / $10,630.42	Facility		$3,878.08	$5,445.42	$10,630.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $545.69 / $754.57 / $923.30	Professional		$545.69	$754.57	$923.30
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 $438.00 / $643.07 / $932.54	Professional		$438.00	$643.07	$932.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $504.15 / $747.75 / $1,881.61	Professional		$504.15	$747.75	$1,881.61
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 $547.16 / $571.80 / $633.33	Professional		$547.16	$571.80	$633.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $720.21	Professional		$32.34	$32.34	$720.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,705.80 / $4,780.00	Facility		$1,183.00	$2,705.80	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.83 / $552.11 / $968.60	Professional		$413.83	$552.11	$968.60