Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,731.00 / $5,091.00	Facility		$624.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.36 / $358.78 / $638.07	Professional		$299.36	$358.78	$638.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,606.37 / $4,683.60 / $8,389.49	Facility		$3,606.37	$4,683.60	$8,389.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.24 / $596.29 / $725.11	Professional		$431.24	$596.29	$725.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.70 / $519.75 / $744.00	Professional		$362.70	$519.75	$744.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $404.25 / $604.50 / $1,841.77	Professional		$404.25	$604.50	$1,841.77
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 $424.32 / $449.06 / $500.50	Professional		$424.32	$449.06	$500.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $565.95	Professional		$32.34	$32.34	$565.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.16 / $451.13 / $761.53	Professional		$331.16	$451.13	$761.53