Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.95 / $1,609.00 / $4,961.00	Facility		$535.95	$1,609.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.50 / $378.07 / $665.38	Professional		$272.50	$378.07	$665.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,016.73 / $4,563.85 / $7,017.83	Facility		$3,016.73	$4,563.85	$7,017.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.89 / $608.38 / $814.59	Professional		$358.89	$608.38	$814.59
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 $304.31 / $475.99 / $748.95	Professional		$304.31	$475.99	$748.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $351.44 / $592.40 / $1,399.15	Professional		$351.44	$592.40	$1,399.15
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 $363.88 / $376.77 / $559.78	Professional		$363.88	$376.77	$559.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $644.73	Professional		$32.34	$32.34	$644.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.98 / $508.91 / $870.57	Professional		$372.98	$508.91	$870.57