Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.14 / $2,118.00 / $5,389.00	Facility		$678.14	$2,118.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.94 / $475.11 / $866.32	Professional		$427.94	$475.11	$866.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,430.97 / $5,403.70 / $11,109.76	Facility		$3,430.97	$5,403.70	$11,109.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.99 / $782.63 / $960.66	Professional		$565.99	$782.63	$960.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $2,338.66 / $2,610.83	Facility		$709.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.83 / $757.95 / $1,057.85	Professional		$488.83	$757.95	$1,057.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.16 / $836.34 / $2,323.50	Professional		$549.16	$836.34	$2,323.50
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 $555.41 / $594.92 / $656.89	Professional		$555.41	$594.92	$656.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $742.79	Professional		$32.34	$32.34	$742.79
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 $441.92 / $691.60 / $1,100.52	Professional		$441.92	$691.60	$1,100.52