Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,188.25 / $4,634.00	Facility		$438.00	$1,188.25	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.71 / $404.57 / $830.23	Professional		$343.71	$404.57	$830.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.73 / $4,188.04 / $9,134.65	Facility		$2,118.73	$4,188.04	$9,134.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.48 / $651.94 / $853.97	Professional		$471.48	$651.94	$853.97
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 $374.27 / $568.24 / $825.62	Professional		$374.27	$568.24	$825.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $433.21 / $652.79 / $1,553.47	Professional		$433.21	$652.79	$1,553.47
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 $465.91 / $490.89 / $589.78	Professional		$465.91	$490.89	$589.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $666.91	Professional		$32.34	$32.34	$666.91
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.28 / $483.85 / $870.42	Professional		$364.28	$483.85	$870.42