Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $2,118.00 / $5,393.00	Facility		$676.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.41 / $338.50 / $685.35	Professional		$285.41	$338.50	$685.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.73 / $3,978.13 / $8,676.81	Facility		$2,118.73	$3,978.13	$8,676.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.61 / $614.79 / $748.67	Professional		$444.61	$614.79	$748.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.36 / $535.86 / $754.18	Professional		$369.36	$535.86	$754.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.79 / $609.87 / $1,544.77	Professional		$416.79	$609.87	$1,544.77
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 $423.18 / $463.65 / $516.02	Professional		$423.18	$463.65	$516.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $583.50	Professional		$32.34	$32.34	$583.50
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,689.00 / $4,183.00	Facility		$807.00	$1,689.00	$4,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.63 / $463.44 / $807.13	Professional		$338.63	$463.44	$807.13