Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,289.00 / $5,389.00	Facility		$630.00	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.05 / $493.60 / $886.18	Professional		$450.05	$493.60	$886.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,117.81 / $7,438.88 / $10,649.77	Facility		$3,117.81	$7,438.88	$10,649.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.54 / $664.89 / $849.81	Professional		$556.54	$664.89	$849.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $554.52 / $914.00 / $5,676.58	Facility		$554.52	$914.00	$5,676.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.54 / $680.45 / $998.17	Professional		$456.54	$680.45	$998.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $520.42 / $813.89 / $2,685.13	Professional		$520.42	$813.89	$2,685.13
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 $593.67 / $615.05 / $661.28	Professional		$593.67	$615.05	$661.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $747.76	Professional		$32.34	$32.34	$747.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $461.52 / $627.82 / $1,062.58	Professional		$461.52	$627.82	$1,062.58