Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.34 / $1,544.00 / $5,430.00	Facility		$583.34	$1,544.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.01 / $519.95 / $807.32	Professional		$486.01	$519.95	$807.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,357.73 / $7,182.32 / $14,382.59	Facility		$3,357.73	$7,182.32	$14,382.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.00 / $899.24 / $1,028.55	Professional		$694.00	$899.24	$1,028.55
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 $571.51 / $828.50 / $1,192.54	Professional		$571.51	$828.50	$1,192.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $520.22 / $2,738.75	Professional		$345.40	$520.22	$2,738.75
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 $365.68 / $386.45 / $431.37	Professional		$365.68	$386.45	$431.37
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 $1,690.00 / $4,711.00 / $8,821.00	Facility		$1,690.00	$4,711.00	$8,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.26 / $409.41 / $632.98	Professional		$285.26	$409.41	$632.98