Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,118.00 / $5,389.00	Facility		$711.00	$2,118.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.44 / $383.20 / $725.47	Professional		$351.44	$383.20	$725.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,780.08 / $8,376.32 / $12,138.23	Facility		$3,780.08	$8,376.32	$12,138.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.50 / $624.33 / $785.89	Professional		$451.50	$624.33	$785.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $10,215.18 / $11,404.02	Facility		$709.00	$10,215.18	$11,404.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.12 / $604.63 / $828.62	Professional		$403.12	$604.63	$828.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $443.40 / $677.19 / $2,109.80	Professional		$443.40	$677.19	$2,109.80
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 $472.42 / $486.69 / $524.02	Professional		$472.42	$486.69	$524.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $592.54	Professional		$32.34	$32.34	$592.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.38 / $533.86 / $863.15	Professional		$368.38	$533.86	$863.15