Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,848.00 / $5,389.00	Facility		$720.00	$1,848.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.23 / $571.26 / $916.52	Professional		$477.23	$571.26	$916.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,756.00 / $6,186.36 / $14,391.33	Facility		$3,756.00	$6,186.36	$14,391.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.79 / $1,056.17 / $1,084.07	Professional		$590.79	$1,056.17	$1,084.07
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 $501.75 / $694.63 / $977.62	Professional		$501.75	$694.63	$977.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $486.35 / $756.13 / $2,132.64	Professional		$486.35	$756.13	$2,132.64
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 $508.31 / $595.74 / $668.90	Professional		$508.31	$595.74	$668.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $756.37	Professional		$32.34	$32.34	$756.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,247.00 / $8,995.00	Facility		$1,152.00	$5,247.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.63 / $748.56 / $1,153.99	Professional		$479.63	$748.56	$1,153.99