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 / $5,430.00	Facility		$755.00	$2,118.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.57 / $605.37 / $972.66	Professional		$475.57	$605.37	$972.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.34 / $5,983.73 / $12,653.10	Facility		$3,302.34	$5,983.73	$12,653.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.05 / $912.65 / $981.03	Professional		$633.05	$912.65	$981.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.70 / $760.50 / $1,102.06	Professional		$557.70	$760.50	$1,102.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $557.70 / $879.07 / $2,229.32	Professional		$557.70	$879.07	$2,229.32
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 $638.26 / $659.10 / $727.53	Professional		$638.26	$659.10	$727.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $839.46	Professional		$32.34	$32.34	$839.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,625.00	Facility		$1,282.00	$3,751.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.19 / $781.55 / $1,220.93	Professional		$534.19	$781.55	$1,220.93