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 $384.36 / $447.70 / $873.55	Professional		$384.36	$447.70	$873.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,585.21 / $4,687.16 / $10,223.29	Facility		$2,585.21	$4,687.16	$10,223.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.40 / $553.40 / $717.06	Professional		$553.40	$553.40	$717.06
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 $416.86 / $644.41 / $954.44	Professional		$416.86	$644.41	$954.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $483.48 / $748.31 / $2,178.38	Professional		$483.48	$748.31	$2,178.38
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 $554.44 / $568.89 / $620.55	Professional		$554.44	$568.89	$620.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $701.70	Professional		$32.34	$32.34	$701.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $609.01 / $1,072.98	Professional		$438.49	$609.01	$1,072.98