Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.30 / $1,452.00 / $7,407.00	Facility		$448.30	$1,452.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.23 / $346.94 / $718.02	Professional		$305.23	$346.94	$718.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,111.21 / $3,719.47 / $8,112.64	Facility		$2,111.21	$3,719.47	$8,112.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.87 / $572.29 / $697.09	Professional		$413.87	$572.29	$697.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,378.17 / $1,538.56	Facility		$875.00	$1,378.17	$1,538.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.69 / $498.13 / $730.54	Professional		$348.69	$498.13	$730.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $387.96 / $581.14 / $1,327.45	Professional		$387.96	$581.14	$1,327.45
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 $401.93 / $431.70 / $480.34	Professional		$401.93	$431.70	$480.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $543.15	Professional		$32.34	$32.34	$543.15
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.73 / $442.86 / $759.65	Professional		$322.73	$442.86	$759.65