Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.41 / $1,696.00 / $9,589.19	Facility		$515.41	$1,696.00	$9,589.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.64 / $514.13 / $969.90	Professional		$328.64	$514.13	$969.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,838.11 / $4,947.17 / $8,928.59	Facility		$3,838.11	$4,947.17	$8,928.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.22 / $654.07 / $1,112.35	Professional		$460.22	$654.07	$1,112.35
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 $416.94 / $628.63 / $1,016.17	Professional		$416.94	$628.63	$1,016.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $506.66 / $817.50 / $1,799.09	Professional		$506.66	$817.50	$1,799.09
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 $470.47 / $488.31 / $759.11	Professional		$470.47	$488.31	$759.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $858.38	Professional		$32.34	$32.34	$858.38
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 $504.01 / $688.80 / $1,232.49	Professional		$504.01	$688.80	$1,232.49