Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,882.00 / $5,549.00	Facility		$720.00	$1,882.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.69 / $621.47 / $903.91	Professional		$491.69	$621.47	$903.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,808.27 / $6,249.49 / $11,278.99	Facility		$4,808.27	$6,249.49	$11,278.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.79 / $799.05 / $873.41	Professional		$563.79	$799.05	$873.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $11,558.00 / $13,383.00	Facility		$620.00	$11,558.00	$13,383.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.01 / $654.34 / $956.35	Professional		$464.01	$654.34	$956.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $445.58 / $748.72 / $2,264.38	Professional		$445.58	$748.72	$2,264.38
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 $594.95 / $601.00 / $654.34	Professional		$594.95	$601.00	$654.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $739.91	Professional		$32.34	$32.34	$739.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $3,975.00 / $8,003.00	Facility		$1,165.00	$3,975.00	$8,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.55 / $601.23 / $1,071.19	Professional		$457.55	$601.23	$1,071.19