Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,609.00 / $5,483.00	Facility		$755.00	$1,609.00	$5,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.30 / $609.01 / $996.90	Professional		$487.30	$609.01	$996.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,062.35 / $6,675.44 / $13,367.56	Facility		$3,062.35	$6,675.44	$13,367.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.94 / $831.39 / $1,038.20	Professional		$693.94	$831.39	$1,038.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $650.60 / $908.00	Facility		$400.00	$650.60	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.22 / $814.15 / $1,188.30	Professional		$514.22	$814.15	$1,188.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $596.90 / $946.14 / $3,100.88	Professional		$596.90	$946.14	$3,100.88
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 $667.25 / $735.71 / $826.88	Professional		$667.25	$735.71	$826.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $935.01	Professional		$32.34	$32.34	$935.01
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $518.13 / $726.11 / $1,274.69	Professional		$518.13	$726.11	$1,274.69