Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.23 / $1,771.00 / $5,389.00	Facility		$634.23	$1,771.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.33 / $590.85 / $1,139.73	Professional		$421.33	$590.85	$1,139.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,593.82 / $11,195.45	Facility		$3,878.08	$5,593.82	$11,195.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.75 / $797.52 / $1,282.45	Professional		$576.75	$797.52	$1,282.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.79 / $755.67 / $1,172.75	Professional		$474.79	$755.67	$1,172.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $536.34 / $934.74 / $1,631.70	Professional		$536.34	$934.74	$1,631.70
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 $589.34 / $613.98 / $871.56	Professional		$589.34	$613.98	$871.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $985.53	Professional		$32.34	$32.34	$985.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.28 / $784.52 / $1,432.22	Professional		$558.28	$784.52	$1,432.22