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 $424.86 / $515.54 / $918.77	Professional		$424.86	$515.54	$918.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $5,918.93 / $12,055.11	Facility		$3,889.58	$5,918.93	$12,055.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.54 / $856.68 / $1,041.55	Professional		$619.54	$856.68	$1,041.55
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 $468.14 / $719.04 / $1,029.81	Professional		$468.14	$719.04	$1,029.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $570.16 / $848.47 / $1,990.27	Professional		$570.16	$848.47	$1,990.27
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 $607.76 / $645.03 / $719.03	Professional		$607.76	$645.03	$719.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $813.06	Professional		$32.34	$32.34	$813.06
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 $451.63 / $606.72 / $1,096.54	Professional		$451.63	$606.72	$1,096.54