Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,842.00 / $5,389.00	Facility		$720.00	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.74 / $502.43 / $941.83	Professional		$489.74	$502.43	$941.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,581.83 / $7,604.21 / $13,723.98	Facility		$3,581.83	$7,604.21	$13,723.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.59 / $954.65 / $1,121.38	Professional		$593.59	$954.65	$1,121.38
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 $521.40 / $694.79 / $993.30	Professional		$521.40	$694.79	$993.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $519.73 / $813.47 / $2,327.12	Professional		$519.73	$813.47	$2,327.12
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 $579.90 / $614.22 / $669.06	Professional		$579.90	$614.22	$669.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $771.99	Professional		$32.34	$32.34	$771.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $517.61 / $748.74 / $1,085.42	Professional		$517.61	$748.74	$1,085.42