Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.29 / $1,603.00 / $5,549.00	Facility		$613.29	$1,603.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.25 / $528.88 / $982.65	Professional		$376.25	$528.88	$982.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,402.13 / $9,749.70	Facility		$3,878.08	$5,402.13	$9,749.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.27 / $695.90 / $1,143.63	Professional		$503.27	$695.90	$1,143.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.04 / $673.95 / $1,050.03	Professional		$458.04	$673.95	$1,050.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $548.22 / $836.57 / $1,521.23	Professional		$548.22	$836.57	$1,521.23
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 $522.03 / $536.45 / $776.82	Professional		$522.03	$536.45	$776.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $878.40	Professional		$32.34	$32.34	$878.40
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 $534.04 / $724.85 / $1,320.27	Professional		$534.04	$724.85	$1,320.27