Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $1,486.00 / $5,091.00	Facility		$578.00	$1,486.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.51 / $457.00 / $854.37	Professional		$330.51	$457.00	$854.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,420.83 / $4,803.37 / $8,706.76	Facility		$3,420.83	$4,803.37	$8,706.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.73 / $617.72 / $985.99	Professional		$446.73	$617.72	$985.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $2,338.66 / $2,610.83	Facility		$620.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.74 / $630.15 / $908.83	Professional		$405.74	$630.15	$908.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $493.20 / $753.88 / $1,683.78	Professional		$493.20	$753.88	$1,683.78
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 $425.06 / $464.13 / $682.80	Professional		$425.06	$464.13	$682.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $772.09	Professional		$32.34	$32.34	$772.09
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 $456.00 / $655.53 / $1,060.85	Professional		$456.00	$655.53	$1,060.85