Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.39 / $1,601.69 / $5,091.00	Facility		$535.39	$1,601.69	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.70 / $485.45 / $910.16	Professional		$298.70	$485.45	$910.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,942.31 / $3,409.25 / $7,930.93	Facility		$1,942.31	$3,409.25	$7,930.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.48 / $618.23 / $1,037.33	Professional		$405.48	$618.23	$1,037.33
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 $360.58 / $561.09 / $933.99	Professional		$360.58	$561.09	$933.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $440.65 / $756.53 / $1,439.73	Professional		$440.65	$756.53	$1,439.73
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 $392.96 / $422.29 / $717.52	Professional		$392.96	$422.29	$717.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $811.35	Professional		$32.34	$32.34	$811.35
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 $429.61 / $596.77 / $1,088.25	Professional		$429.61	$596.77	$1,088.25