Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,835.00 / $5,091.00	Facility		$630.00	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.54 / $442.79 / $819.90	Professional		$362.54	$442.79	$819.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,588.46 / $10,167.61 / $30,030.89	Facility		$4,588.46	$10,167.61	$30,030.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.22 / $764.77 / $1,573.71	Professional		$590.22	$764.77	$1,573.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $30,232.21 / $33,750.62	Facility		$620.00	$30,232.21	$33,750.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.32 / $647.13 / $906.22	Professional		$401.32	$647.13	$906.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $464.68 / $752.34 / $2,237.84	Professional		$464.68	$752.34	$2,237.84
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 $496.47 / $575.32 / $661.84	Professional		$496.47	$575.32	$661.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $748.39	Professional		$32.34	$32.34	$748.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,167.00 / $11,124.00 / $41,342.00	Facility		$3,167.00	$11,124.00	$41,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.85 / $555.90 / $979.54	Professional		$390.85	$555.90	$979.54