Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.31 / $2,989.00 / $7,123.00	Facility		$948.31	$2,989.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.19 / $597.14 / $997.39	Professional		$494.19	$597.14	$997.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,837.21 / $7,708.25 / $11,560.74	Facility		$3,837.21	$7,708.25	$11,560.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.92 / $744.20 / $1,001.96	Professional		$374.92	$744.20	$1,001.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $652.83 / $996.00 / $5,676.58	Facility		$652.83	$996.00	$5,676.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.78 / $804.53 / $1,175.85	Professional		$541.78	$804.53	$1,175.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.40 / $948.31 / $3,748.94	Professional		$616.40	$948.31	$3,748.94
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 $684.98 / $725.18 / $804.53	Professional		$684.98	$725.18	$804.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $909.74	Professional		$32.34	$32.34	$909.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,820.00 / $12,241.00	Facility		$1,300.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.73 / $760.91 / $1,315.76	Professional		$558.73	$760.91	$1,315.76