Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,486.00 / $4,961.00	Facility		$600.00	$1,486.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.28 / $453.36 / $768.33	Professional		$333.28	$453.36	$768.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,579.39 / $4,648.56 / $8,326.73	Facility		$3,579.39	$4,648.56	$8,326.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.12 / $730.15 / $913.45	Professional		$425.12	$730.15	$913.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $2,713.32 / $3,029.10	Facility		$620.00	$2,713.32	$3,029.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.18 / $569.29 / $907.21	Professional		$328.18	$569.29	$907.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $376.59 / $667.76 / $1,111.49	Professional		$376.59	$667.76	$1,111.49
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 $440.79 / $452.18 / $620.72	Professional		$440.79	$452.18	$620.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $701.90	Professional		$32.34	$32.34	$701.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,715.00 / $6,514.00	Facility		$1,600.00	$3,715.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.50 / $595.14 / $1,102.93	Professional		$453.50	$595.14	$1,102.93