Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.73 / $1,305.00 / $4,961.00	Facility		$519.73	$1,305.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $464.76 / $885.70	Professional		$291.51	$464.76	$885.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,111.21 / $3,748.71 / $8,176.41	Facility		$2,111.21	$3,748.71	$8,176.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.93 / $601.41 / $951.60	Professional		$387.93	$601.41	$951.60
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 $345.25 / $557.59 / $926.30	Professional		$345.25	$557.59	$926.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $429.54 / $745.47 / $1,480.26	Professional		$429.54	$745.47	$1,480.26
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 $378.47 / $404.34 / $698.01	Professional		$378.47	$404.34	$698.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $789.29	Professional		$32.34	$32.34	$789.29
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 $416.49 / $592.89 / $1,067.33	Professional		$416.49	$592.89	$1,067.33