Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.40 / $2,109.00 / $5,500.00	Facility		$671.40	$2,109.00	$5,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.88 / $531.77 / $902.40	Professional		$374.88	$531.77	$902.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,138.21 / $9,273.37	Facility		$3,878.08	$5,138.21	$9,273.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.02 / $658.23 / $1,317.86	Professional		$476.02	$658.23	$1,317.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.45 / $671.46 / $1,026.22	Professional		$438.45	$671.46	$1,026.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $548.72 / $835.28 / $2,002.71	Professional		$548.72	$835.28	$2,002.71
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 $497.59 / $513.41 / $749.49	Professional		$497.59	$513.41	$749.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $847.50	Professional		$32.34	$32.34	$847.50
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 $538.20 / $747.50 / $1,258.10	Professional		$538.20	$747.50	$1,258.10