Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $2,109.00 / $5,580.00	Facility		$630.00	$2,109.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.23 / $476.29 / $837.60	Professional		$331.23	$476.29	$837.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,101.25 / $3,761.65 / $8,204.64	Facility		$2,101.25	$3,761.65	$8,204.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.69 / $585.87 / $1,004.71	Professional		$423.69	$585.87	$1,004.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,631.14 / $1,820.98	Facility		$875.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.17 / $605.21 / $923.76	Professional		$397.17	$605.21	$923.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $490.84 / $765.58 / $2,342.21	Professional		$490.84	$765.58	$2,342.21
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 $442.13 / $455.78 / $678.43	Professional		$442.13	$455.78	$678.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $767.15	Professional		$32.34	$32.34	$767.15
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 $484.58 / $650.30 / $1,134.74	Professional		$484.58	$650.30	$1,134.74