Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,154.14 / $6,180.00	Facility		$711.00	$2,154.14	$6,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.74 / $543.17 / $984.61	Professional		$450.74	$543.17	$984.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,177.92 / $12,701.53	Facility		$3,889.58	$6,177.92	$12,701.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.16 / $901.78 / $1,097.60	Professional		$652.16	$901.78	$1,097.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,430.33 / $10,111.00	Facility		$709.00	$3,430.33	$10,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.03 / $784.32 / $1,134.88	Professional		$549.03	$784.32	$1,134.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $611.34 / $894.12 / $2,203.96	Professional		$611.34	$894.12	$2,203.96
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 $633.74 / $679.74 / $756.90	Professional		$633.74	$679.74	$756.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $855.88	Professional		$32.34	$32.34	$855.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.59 / $687.05 / $1,168.07	Professional		$502.59	$687.05	$1,168.07