Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,169.00 / $4,634.00	Facility		$438.00	$1,169.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.11 / $344.13 / $627.54	Professional		$300.11	$344.13	$627.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,085.37 / $3,689.38 / $8,047.01	Facility		$2,085.37	$3,689.38	$8,047.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.67 / $577.54 / $752.75	Professional		$417.67	$577.54	$752.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,631.14 / $1,820.98	Facility		$463.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.85 / $503.39 / $733.64	Professional		$344.85	$503.39	$733.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $391.52 / $578.60 / $2,151.88	Professional		$391.52	$578.60	$2,151.88
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 $411.09 / $434.73 / $520.01	Professional		$411.09	$434.73	$520.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $588.01	Professional		$32.34	$32.34	$588.01
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $451.99 / $779.97	Professional		$333.25	$451.99	$779.97