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 $367.81 / $443.53 / $830.07	Professional		$367.81	$443.53	$830.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,513.06 / $10,899.97	Facility		$3,878.08	$5,513.06	$10,899.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.08 / $773.07 / $939.89	Professional		$559.08	$773.07	$939.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.14 / $673.82 / $920.75	Professional		$470.14	$673.82	$920.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.70 / $783.56 / $1,631.70	Professional		$512.70	$783.56	$1,631.70
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 $546.34 / $582.08 / $648.87	Professional		$546.34	$582.08	$648.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $733.72	Professional		$32.34	$32.34	$733.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.13 / $560.74 / $990.96	Professional		$411.13	$560.74	$990.96