Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.25 / $1,972.00 / $5,389.00	Facility		$588.25	$1,972.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.68 / $437.85 / $899.17	Professional		$377.68	$437.85	$899.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,144.98 / $4,694.13 / $10,238.49	Facility		$2,144.98	$4,694.13	$10,238.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.94 / $725.88 / $882.02	Professional		$524.94	$725.88	$882.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,378.17 / $1,538.56	Facility		$875.00	$1,378.17	$1,538.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.69 / $630.27 / $923.91	Professional		$428.69	$630.27	$923.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $492.08 / $735.32 / $1,765.22	Professional		$492.08	$735.32	$1,765.22
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 $501.22 / $546.23 / $609.25	Professional		$501.22	$546.23	$609.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $688.92	Professional		$32.34	$32.34	$688.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.85 / $544.70 / $947.06	Professional		$402.85	$544.70	$947.06