Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,486.00 / $4,634.00	Facility		$600.00	$1,486.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.45 / $492.11 / $875.08	Professional		$355.45	$492.11	$875.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,420.83 / $4,803.37 / $9,314.64	Facility		$3,420.83	$4,803.37	$9,314.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.90 / $647.00 / $1,031.19	Professional		$467.90	$647.00	$1,031.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $2,338.66 / $2,610.83	Facility		$620.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.21 / $665.69 / $962.45	Professional		$419.21	$665.69	$962.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $507.49 / $788.18 / $1,884.40	Professional		$507.49	$788.18	$1,884.40
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 $462.50 / $490.97 / $708.67	Professional		$462.50	$490.97	$708.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $809.36	Professional		$32.34	$32.34	$809.36
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 $502.90 / $690.72 / $1,156.53	Professional		$502.90	$690.72	$1,156.53