Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.30 / $1,731.00 / $5,091.00	Facility		$477.30	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.56 / $257.98 / $477.30	Professional		$219.56	$257.98	$477.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,918.54 / $2,938.37 / $6,032.50	Facility		$1,918.54	$2,938.37	$6,032.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.77 / $426.97 / $521.90	Professional		$308.77	$426.97	$521.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,631.14 / $1,820.98	Facility		$620.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.84 / $365.82 / $542.89	Professional		$255.84	$365.82	$542.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $303.24 / $435.09 / $1,160.83	Professional		$303.24	$435.09	$1,160.83
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 $309.61 / $323.20 / $358.37	Professional		$309.61	$323.20	$358.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $407.73	Professional		$32.34	$32.34	$407.73
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 $245.62 / $329.47 / $559.42	Professional		$245.62	$329.47	$559.42