Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,486.00 / $4,634.00	Facility		$600.00	$1,486.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.31 / $501.45 / $922.91	Professional		$298.31	$501.45	$922.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.73 / $3,818.94 / $8,329.59	Facility		$2,118.73	$3,818.94	$8,329.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.34 / $680.05 / $1,139.60	Professional		$431.34	$680.05	$1,139.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $2,194.06 / $2,449.41	Facility		$620.00	$2,194.06	$2,449.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.38 / $602.61 / $1,026.07	Professional		$377.38	$602.61	$1,026.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $462.20 / $830.62 / $1,878.51	Professional		$462.20	$830.62	$1,878.51
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 $430.12 / $448.44 / $789.26	Professional		$430.12	$448.44	$789.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $892.47	Professional		$32.34	$32.34	$892.47
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 $482.14 / $668.64 / $1,241.23	Professional		$482.14	$668.64	$1,241.23