Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.29 / $1,411.00 / $4,634.00	Facility		$517.29	$1,411.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.29 / $435.84 / $841.70	Professional		$262.29	$435.84	$841.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,054.71 / $3,609.49 / $7,872.75	Facility		$2,054.71	$3,609.49	$7,872.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.37 / $602.29 / $1,010.24	Professional		$404.37	$602.29	$1,010.24
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 $283.89 / $541.52 / $876.47	Professional		$283.89	$541.52	$876.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $365.73 / $699.02 / $1,165.25	Professional		$365.73	$699.02	$1,165.25
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 $391.04 / $420.85 / $699.02	Professional		$391.04	$420.85	$699.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $790.43	Professional		$32.34	$32.34	$790.43
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 $332.68 / $573.55 / $1,062.90	Professional		$332.68	$573.55	$1,062.90