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 $445.68 / $536.36 / $955.10	Professional		$445.68	$536.36	$955.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,599.40 / $5,750.19 / $12,541.90	Facility		$2,599.40	$5,750.19	$12,541.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.53 / $889.85 / $1,082.04	Professional		$643.53	$889.85	$1,082.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,799.73 / $2,009.18	Facility		$875.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.46 / $758.37 / $1,091.58	Professional		$499.46	$758.37	$1,091.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $603.25 / $902.07 / $2,164.13	Professional		$603.25	$902.07	$2,164.13
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 $626.74 / $670.11 / $746.88	Professional		$626.74	$670.11	$746.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $844.54	Professional		$32.34	$32.34	$844.54
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 $478.11 / $651.07 / $1,141.70	Professional		$478.11	$651.07	$1,141.70