Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,758.00 / $5,580.00	Facility		$813.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.29 / $549.40 / $925.74	Professional		$487.29	$549.40	$925.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,383.76 / $6,327.46 / $12,965.06	Facility		$3,383.76	$6,327.46	$12,965.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.54 / $920.54 / $1,015.34	Professional		$617.54	$920.54	$1,015.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.54 / $702.27 / $1,005.60	Professional		$502.54	$702.27	$1,005.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $525.55 / $818.01 / $2,195.75	Professional		$525.55	$818.01	$2,195.75
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 $586.35 / $621.11 / $676.26	Professional		$586.35	$621.11	$676.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $780.30	Professional		$32.34	$32.34	$780.30
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 $512.47 / $673.18 / $1,286.70	Professional		$512.47	$673.18	$1,286.70