Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.80 / $1,228.00 / $5,091.00	Facility		$430.80	$1,228.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.79 / $418.08 / $767.89	Professional		$226.79	$418.08	$767.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,523.69 / $3,938.16 / $5,870.85	Facility		$2,523.69	$3,938.16	$5,870.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.58 / $510.00 / $907.56	Professional		$301.58	$510.00	$907.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $2,338.66 / $2,610.83	Facility		$709.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.68 / $460.40 / $823.57	Professional		$269.68	$460.40	$823.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $661.50 / $1,484.09	Professional		$345.40	$661.50	$1,484.09
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 $293.52 / $315.85 / $626.20	Professional		$293.52	$315.85	$626.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $708.08	Professional		$32.34	$32.34	$708.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,715.00 / $6,514.00	Facility		$1,499.00	$3,715.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.29 / $588.39 / $1,018.61	Professional		$437.29	$588.39	$1,018.61