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 $490.06 / $503.24 / $942.43	Professional		$490.06	$503.24	$942.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,584.22 / $6,363.64 / $13,733.15	Facility		$3,584.22	$6,363.64	$13,733.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.97 / $955.27 / $1,122.08	Professional		$593.97	$955.27	$1,122.08
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 $524.79 / $695.88 / $1,004.96	Professional		$524.79	$695.88	$1,004.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $520.05 / $823.98 / $2,050.04	Professional		$520.05	$823.98	$2,050.04
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 $580.30 / $614.61 / $669.49	Professional		$580.30	$614.61	$669.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $772.49	Professional		$32.34	$32.34	$772.49
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.64 / $699.09 / $1,086.14	Professional		$509.64	$699.09	$1,086.14