Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.43 / $2,118.00 / $5,393.00	Facility		$801.43	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.65 / $519.71 / $932.40	Professional		$466.65	$519.71	$932.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,257.29 / $7,708.25 / $10,791.55	Facility		$3,257.29	$7,708.25	$10,791.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.96 / $567.96 / $678.54	Professional		$567.96	$567.96	$678.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $709.00 / $5,676.58	Facility		$450.00	$709.00	$5,676.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.98 / $700.81 / $1,085.72	Professional		$485.98	$700.81	$1,085.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $520.92 / $801.43 / $2,712.80	Professional		$520.92	$801.43	$2,712.80
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 $588.29 / $612.86 / $674.86	Professional		$588.29	$612.86	$674.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $763.11	Professional		$32.34	$32.34	$763.11
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 $496.36 / $697.85 / $1,104.13	Professional		$496.36	$697.85	$1,104.13