Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.84 / $1,758.00 / $5,389.00	Facility		$583.84	$1,758.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.47 / $421.51 / $716.31	Professional		$301.47	$421.51	$716.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,323.81 / $4,631.47 / $7,732.18	Facility		$3,323.81	$4,631.47	$7,732.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.41 / $539.85 / $721.28	Professional		$390.41	$539.85	$721.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $2,713.32 / $3,029.10	Facility		$709.00	$2,713.32	$3,029.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.55 / $512.29 / $818.08	Professional		$331.55	$512.29	$818.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $376.45 / $644.67 / $1,527.75	Professional		$376.45	$644.67	$1,527.75
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 $393.48 / $412.01 / $605.40	Professional		$393.48	$412.01	$605.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $684.56	Professional		$32.34	$32.34	$684.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.48 / $541.65 / $921.08	Professional		$402.48	$541.65	$921.08