Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.10 / $1,731.00 / $5,091.00	Facility		$618.10	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.55 / $347.67 / $618.10	Professional		$290.55	$347.67	$618.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,494.69 / $4,633.68 / $8,129.69	Facility		$3,494.69	$4,633.68	$8,129.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.77 / $579.62 / $704.21	Professional		$375.77	$579.62	$704.21
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 $331.70 / $486.49 / $711.02	Professional		$331.70	$486.49	$711.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $387.56 / $585.48 / $1,423.43	Professional		$387.56	$585.48	$1,423.43
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 $412.62 / $436.11 / $486.49	Professional		$412.62	$436.11	$486.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $550.10	Professional		$32.34	$32.34	$550.10
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 $315.67 / $417.75 / $740.25	Professional		$315.67	$417.75	$740.25