Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.59 / $1,272.00 / $5,091.00	Facility		$444.59	$1,272.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.70 / $396.71 / $793.80	Professional		$282.70	$396.71	$793.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,942.31 / $3,362.32 / $7,333.66	Facility		$1,942.31	$3,362.32	$7,333.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.06 / $520.00 / $858.81	Professional		$376.06	$520.00	$858.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,378.17 / $1,538.56	Facility		$620.00	$1,378.17	$1,538.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.25 / $497.39 / $789.61	Professional		$316.25	$497.39	$789.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $385.17 / $628.04 / $1,336.20	Professional		$385.17	$628.04	$1,336.20
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 $364.92 / $391.89 / $593.46	Professional		$364.92	$391.89	$593.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $671.07	Professional		$32.34	$32.34	$671.07
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 $397.22 / $544.66 / $912.95	Professional		$397.22	$544.66	$912.95