Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,835.00 / $5,389.00	Facility		$720.00	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.29 / $585.09 / $870.36	Professional		$459.29	$585.09	$870.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.52 / $8,030.49 / $12,229.22	Facility		$3,981.52	$8,030.49	$12,229.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $876.60 / $940.96	Professional		$608.04	$876.60	$940.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.41 / $725.67 / $1,039.38	Professional		$466.41	$725.67	$1,039.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $534.91 / $822.42 / $1,518.52	Professional		$534.91	$822.42	$1,518.52
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 $615.08 / $632.17 / $698.79	Professional		$615.08	$632.17	$698.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $806.30	Professional		$32.34	$32.34	$806.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.93 / $665.28 / $1,091.48	Professional		$485.93	$665.28	$1,091.48