Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,278.00 / $5,430.00	Facility		$755.00	$1,278.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.96 / $535.01 / $907.99	Professional		$466.96	$535.01	$907.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,177.12 / $4,916.99 / $10,357.85	Facility		$2,177.12	$4,916.99	$10,357.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.39 / $732.49 / $914.59	Professional		$611.39	$732.49	$914.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.34 / $1,230.00 / $2,720.17	Facility		$574.34	$1,230.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.54 / $731.41 / $1,064.75	Professional		$474.54	$731.41	$1,064.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $548.41 / $868.60 / $1,755.66	Professional		$548.41	$868.60	$1,755.66
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 $589.72 / $648.12 / $728.51	Professional		$589.72	$648.12	$728.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $823.77	Professional		$32.34	$32.34	$823.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,976.00 / $8,566.00	Facility		$1,600.00	$4,976.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.67 / $660.46 / $1,145.82	Professional		$488.67	$660.46	$1,145.82