Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,731.00 / $5,091.00	Facility		$630.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.10 / $504.31 / $841.09	Professional		$423.10	$504.31	$841.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,069.18 / $9,457.39 / $13,180.78	Facility		$5,069.18	$9,457.39	$13,180.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.66 / $830.58 / $1,008.89	Professional		$600.66	$830.58	$1,008.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $11,837.24 / $13,214.85	Facility		$620.00	$11,837.24	$13,214.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.67 / $714.91 / $1,000.80	Professional		$468.67	$714.91	$1,000.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $536.25 / $819.56 / $1,903.35	Professional		$536.25	$819.56	$1,903.35
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 $597.97 / $624.80 / $697.13	Professional		$597.97	$624.80	$697.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $788.29	Professional		$32.34	$32.34	$788.29
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 $424.38 / $592.24 / $1,028.13	Professional		$424.38	$592.24	$1,028.13