Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,933.00 / $5,393.00	Facility		$711.00	$1,933.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.75 / $565.72 / $929.81	Professional		$437.75	$565.72	$929.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,082.92 / $11,659.36 / $17,690.16	Facility		$5,082.92	$11,659.36	$17,690.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.42 / $868.50 / $918.83	Professional		$602.42	$868.50	$918.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.09 / $742.73 / $1,056.61	Professional		$527.09	$742.73	$1,056.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $522.34 / $830.99 / $2,330.73	Professional		$522.34	$830.99	$2,330.73
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 $528.96 / $617.30 / $692.34	Professional		$528.96	$617.30	$692.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $798.86	Professional		$32.34	$32.34	$798.86
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 $513.42 / $735.59 / $1,373.71	Professional		$513.42	$735.59	$1,373.71