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 $460.23 / $553.39 / $992.63	Professional		$460.23	$553.39	$992.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,290.98 / $12,940.27	Facility		$3,889.58	$6,290.98	$12,940.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.31 / $919.96 / $1,118.69	Professional		$665.31	$919.96	$1,118.69
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 $530.91 / $775.00 / $1,133.55	Professional		$530.91	$775.00	$1,133.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $623.66 / $911.31 / $2,247.42	Professional		$623.66	$911.31	$2,247.42
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 $649.36 / $692.81 / $772.15	Professional		$649.36	$692.81	$772.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $873.12	Professional		$32.34	$32.34	$873.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.84 / $686.00 / $1,181.82	Professional		$506.84	$686.00	$1,181.82