Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.64 / $1,771.00 / $5,389.00	Facility		$605.64	$1,771.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.32 / $491.59 / $918.09	Professional		$313.32	$491.59	$918.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,579.94 / $7,932.83 / $12,138.23	Facility		$3,579.94	$7,932.83	$12,138.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.34 / $631.41 / $1,075.42	Professional		$435.34	$631.41	$1,075.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,831.39 / $7,626.43	Facility		$709.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.45 / $614.78 / $980.78	Professional		$395.45	$614.78	$980.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $490.16 / $789.19 / $1,546.58	Professional		$490.16	$789.19	$1,546.58
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 $444.34 / $463.14 / $732.82	Professional		$444.34	$463.14	$732.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $828.65	Professional		$32.34	$32.34	$828.65
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 $496.54 / $678.91 / $1,181.49	Professional		$496.54	$678.91	$1,181.49