Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.65 / $2,747.00 / $7,407.00	Facility		$456.65	$2,747.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.47 / $446.98 / $936.46	Professional		$248.47	$446.98	$936.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,170.99 / $5,416.88 / $9,702.98	Facility		$4,170.99	$5,416.88	$9,702.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.47 / $693.47 / $838.71	Professional		$524.47	$693.47	$838.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.85 / $649.04 / $942.25	Professional		$470.85	$649.04	$942.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $485.69 / $804.82 / $2,755.07	Professional		$485.69	$804.82	$2,755.07
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 $566.57 / $608.70 / $675.01	Professional		$566.57	$608.70	$675.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $778.86	Professional		$32.34	$32.34	$778.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $5,000.00 / $8,995.00	Facility		$1,600.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $438.26 / $636.86 / $1,041.97	Professional		$438.26	$636.86	$1,041.97