Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,118.00 / $5,405.00	Facility		$813.00	$2,118.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.63 / $521.77 / $942.58	Professional		$471.63	$521.77	$942.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,123.21 / $5,118.60 / $10,101.39	Facility		$2,123.21	$5,118.60	$10,101.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.88 / $705.92 / $882.94	Professional		$590.88	$705.92	$882.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $709.00 / $2,713.32	Facility		$450.00	$709.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.75 / $727.98 / $1,108.32	Professional		$491.75	$727.98	$1,108.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $543.16 / $835.65 / $2,290.81	Professional		$543.16	$835.65	$2,290.81
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 $602.63 / $639.03 / $702.09	Professional		$602.63	$639.03	$702.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $793.90	Professional		$32.34	$32.34	$793.90
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,685.00 / $5,407.00	Facility		$815.00	$2,685.00	$5,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.48 / $713.30 / $1,125.58	Professional		$507.48	$713.30	$1,125.58