Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,609.00 / $5,430.00	Facility		$755.00	$1,609.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.82 / $535.91 / $964.79	Professional		$431.82	$535.91	$964.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,585.21 / $5,610.78 / $12,237.82	Facility		$2,585.21	$5,610.78	$12,237.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.16 / $868.35 / $983.72	Professional		$670.16	$868.35	$983.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,799.73 / $2,009.18	Facility		$875.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.52 / $771.58 / $1,098.55	Professional		$525.52	$771.58	$1,098.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $606.96 / $879.61 / $2,129.73	Professional		$606.96	$879.61	$2,129.73
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 $595.74 / $668.71 / $751.48	Professional		$595.74	$668.71	$751.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $849.75	Professional		$32.34	$32.34	$849.75
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 $489.63 / $680.27 / $1,170.43	Professional		$489.63	$680.27	$1,170.43