Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,836.00 / $7,000.00	Facility		$813.00	$2,836.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.38 / $478.63 / $864.84	Professional		$397.38	$478.63	$864.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,811.14 / $9,308.45 / $13,031.84	Facility		$4,811.14	$9,308.45	$13,031.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.07 / $795.18 / $967.18	Professional		$575.07	$795.18	$967.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $6,831.39 / $7,626.43	Facility		$996.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.04 / $682.67 / $978.10	Professional		$471.04	$682.67	$978.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $531.50 / $787.88 / $1,966.73	Professional		$531.50	$787.88	$1,966.73
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 $559.46 / $598.98 / $667.42	Professional		$559.46	$598.98	$667.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $754.70	Professional		$32.34	$32.34	$754.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,951.00 / $8,584.00	Facility		$1,499.00	$3,951.00	$8,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.11 / $575.29 / $1,028.53	Professional		$428.11	$575.29	$1,028.53