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 / $5,393.00	Facility		$711.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.10 / $456.03 / $885.56	Professional		$395.10	$456.03	$885.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $4,884.07 / $10,652.77	Facility		$2,202.15	$4,884.07	$10,652.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.07 / $755.09 / $951.72	Professional		$546.07	$755.09	$951.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.37 / $672.77 / $976.88	Professional		$485.37	$672.77	$976.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $520.85 / $780.03 / $1,548.39	Professional		$520.85	$780.03	$1,548.39
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 $571.19 / $589.41 / $633.78	Professional		$571.19	$589.41	$633.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $723.38	Professional		$32.34	$32.34	$723.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,715.00 / $6,514.00	Facility		$1,600.00	$3,715.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.50 / $634.42 / $1,052.46	Professional		$450.50	$634.42	$1,052.46