Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,731.00 / $5,091.00	Facility		$630.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.68 / $463.15 / $840.52	Professional		$381.68	$463.15	$840.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,585.21 / $5,084.64 / $11,090.27	Facility		$2,585.21	$5,084.64	$11,090.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.12 / $795.73 / $874.10	Professional		$614.12	$795.73	$874.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,799.73 / $2,009.18	Facility		$620.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.72 / $678.04 / $942.90	Professional		$385.72	$678.04	$942.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $462.29 / $783.87 / $1,745.95	Professional		$462.29	$783.87	$1,745.95
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 $523.89 / $599.42 / $688.64	Professional		$523.89	$599.42	$688.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $778.69	Professional		$32.34	$32.34	$778.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.02 / $575.63 / $1,023.83	Professional		$395.02	$575.63	$1,023.83