Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.89 / $1,609.00 / $7,407.00	Facility		$613.89	$1,609.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.09 / $547.14 / $849.56	Professional		$504.09	$547.14	$849.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,530.70 / $7,552.32 / $15,123.52	Facility		$3,530.70	$7,552.32	$15,123.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $729.73 / $945.54 / $1,081.61	Professional		$729.73	$945.54	$1,081.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $10,710.00 / $17,537.00	Facility		$875.00	$10,710.00	$17,537.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.98 / $869.49 / $1,254.84	Professional		$579.98	$869.49	$1,254.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $358.38 / $552.50 / $2,299.10	Professional		$358.38	$552.50	$2,299.10
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 $388.25 / $412.31 / $457.77	Professional		$388.25	$412.31	$457.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,469.00 / $8,566.00	Facility		$1,600.00	$4,469.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.95 / $406.49 / $655.70	Professional		$280.95	$406.49	$655.70