Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,118.00 / $5,393.00	Facility		$755.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.02 / $512.54 / $877.83	Professional		$446.02	$512.54	$877.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,085.65 / $4,894.60 / $9,922.65	Facility		$2,085.65	$4,894.60	$9,922.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.11 / $702.20 / $876.81	Professional		$586.11	$702.20	$876.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $709.00 / $2,720.17	Facility		$450.00	$709.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.84 / $699.12 / $1,016.85	Professional		$425.84	$699.12	$1,016.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $502.13 / $799.11 / $1,821.72	Professional		$502.13	$799.11	$1,821.72
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 $561.59 / $621.35 / $698.39	Professional		$561.59	$621.35	$698.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $789.71	Professional		$32.34	$32.34	$789.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,975.00 / $6,625.00	Facility		$1,098.00	$3,975.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.70 / $618.94 / $1,148.61	Professional		$444.70	$618.94	$1,148.61