Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $2,157.00 / $5,405.00	Facility		$676.00	$2,157.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.91 / $488.14 / $827.69	Professional		$407.91	$488.14	$827.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,209.48 / $5,807.40 / $12,297.28	Facility		$3,209.48	$5,807.40	$12,297.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.94 / $902.78 / $926.55	Professional		$504.94	$902.78	$926.55
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 $434.80 / $615.67 / $892.53	Professional		$434.80	$615.67	$892.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $411.30 / $672.85 / $1,903.45	Professional		$411.30	$672.85	$1,903.45
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 $436.33 / $509.22 / $571.70	Professional		$436.33	$509.22	$571.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $646.46	Professional		$32.34	$32.34	$646.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,391.00 / $8,566.00	Facility		$1,600.00	$4,391.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.29 / $608.47 / $1,059.33	Professional		$440.29	$608.47	$1,059.33