Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,118.00 / $5,549.00	Facility		$755.00	$2,118.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.29 / $499.23 / $902.78	Professional		$414.29	$499.23	$902.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,824.60 / $11,673.64	Facility		$3,878.08	$5,824.60	$11,673.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.32 / $828.72 / $1,008.22	Professional		$599.32	$828.72	$1,008.22
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 $480.77 / $714.03 / $1,044.36	Professional		$480.77	$714.03	$1,044.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $561.79 / $821.31 / $2,312.63	Professional		$561.79	$821.31	$2,312.63
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 $583.19 / $624.39 / $695.57	Professional		$583.19	$624.39	$695.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $786.52	Professional		$32.34	$32.34	$786.52
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 $459.23 / $626.49 / $1,072.52	Professional		$459.23	$626.49	$1,072.52