Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $1,326.00 / $5,389.00	Facility		$538.00	$1,326.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.13 / $502.01 / $935.41	Professional		$491.13	$502.01	$935.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,592.08 / $6,363.64 / $13,763.24	Facility		$3,592.08	$6,363.64	$13,763.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.34 / $1,028.34 / $1,028.34	Professional		$1,028.34	$1,028.34	$1,028.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.51 / $693.98 / $1,009.91	Professional		$523.51	$693.98	$1,009.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $520.85 / $821.15 / $2,075.39	Professional		$520.85	$821.15	$2,075.39
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 $572.08 / $615.54 / $667.19	Professional		$572.08	$615.54	$667.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $769.83	Professional		$32.34	$32.34	$769.83
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.41 / $717.08 / $1,109.60	Professional		$527.41	$717.08	$1,109.60