Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,835.00 / $5,389.00	Facility		$720.00	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.38 / $470.72 / $849.03	Professional		$451.38	$470.72	$849.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,334.88 / $6,223.92 / $12,777.77	Facility		$3,334.88	$6,223.92	$12,777.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.55 / $885.45 / $1,040.71	Professional		$550.55	$885.45	$1,040.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.73 / $647.22 / $923.16	Professional		$486.73	$647.22	$923.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $482.34 / $756.60 / $1,912.40	Professional		$482.34	$756.60	$1,912.40
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 $539.54 / $570.04 / $620.57	Professional		$539.54	$570.04	$620.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $716.04	Professional		$32.34	$32.34	$716.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,981.00	Facility		$1,690.00	$5,000.00	$8,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.25 / $697.00 / $1,179.73	Professional		$470.25	$697.00	$1,179.73