Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $1,365.00 / $5,091.00	Facility		$538.00	$1,365.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.33 / $449.37 / $832.63	Professional		$391.33	$449.37	$832.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,513.06 / $10,815.85	Facility		$3,878.08	$5,513.06	$10,815.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.41 / $769.40 / $935.37	Professional		$556.41	$769.40	$935.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $3,072.73 / $3,430.33	Facility		$463.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.99 / $660.97 / $960.50	Professional		$462.99	$660.97	$960.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $521.60 / $761.98 / $1,896.10	Professional		$521.60	$761.98	$1,896.10
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 $542.30 / $579.28 / $645.79	Professional		$542.30	$579.28	$645.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $730.24	Professional		$32.34	$32.34	$730.24
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 $426.36 / $582.85 / $991.64	Professional		$426.36	$582.85	$991.64