Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $2,095.00 / $5,393.00	Facility		$676.00	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.60 / $395.53 / $733.04	Professional		$329.60	$395.53	$733.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,975.78 / $8,563.78 / $12,138.23	Facility		$3,975.78	$8,563.78	$12,138.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.56 / $665.89 / $809.81	Professional		$481.56	$665.89	$809.81
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 $402.35 / $580.39 / $814.92	Professional		$402.35	$580.39	$814.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $442.28 / $675.12 / $1,680.59	Professional		$442.28	$675.12	$1,680.59
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 $472.51 / $501.51 / $558.90	Professional		$472.51	$501.51	$558.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $631.98	Professional		$32.34	$32.34	$631.98
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 $361.89 / $497.65 / $863.26	Professional		$361.89	$497.65	$863.26