Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,417.91 / $5,389.00	Facility		$630.00	$1,417.91	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.24 / $558.16 / $1,030.28	Professional		$495.24	$558.16	$1,030.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,494.10 / $14,688.33 / $34,169.44	Facility		$4,494.10	$14,688.33	$34,169.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.80 / $2,392.13 / $2,401.19	Professional		$591.80	$2,392.13	$2,401.19
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 $538.84 / $713.27 / $1,038.49	Professional		$538.84	$713.27	$1,038.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $533.98 / $845.36 / $4,161.96	Professional		$533.98	$845.36	$4,161.96
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 $595.45 / $631.07 / $686.86	Professional		$595.45	$631.07	$686.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $792.53	Professional		$32.34	$32.34	$792.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $3,581.00 / $6,514.00	Facility		$1,165.00	$3,581.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.88 / $753.19 / $1,115.92	Professional		$531.88	$753.19	$1,115.92