Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.86 / $1,471.00 / $5,283.00	Facility		$487.86	$1,471.00	$5,283.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.89 / $438.28 / $836.03	Professional		$298.89	$438.28	$836.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,420.83 / $4,414.08 / $7,966.47	Facility		$3,420.83	$4,414.08	$7,966.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.25 / $573.59 / $962.67	Professional		$411.25	$573.59	$962.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $2,338.66 / $2,610.83	Facility		$620.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.69 / $547.71 / $866.75	Professional		$327.69	$547.71	$866.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $403.87 / $691.72 / $1,485.01	Professional		$403.87	$691.72	$1,485.01
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 $402.52 / $428.21 / $665.72	Professional		$402.52	$428.21	$665.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $752.77	Professional		$32.34	$32.34	$752.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.77 / $569.26 / $992.72	Professional		$418.77	$569.26	$992.72