Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.47 / $2,095.00 / $5,393.00	Facility		$678.47	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.53 / $408.59 / $798.21	Professional		$356.53	$408.59	$798.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,263.50 / $9,499.50	Facility		$3,878.08	$5,263.50	$9,499.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.96 / $673.35 / $837.76	Professional		$486.96	$673.35	$837.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.25 / $608.64 / $903.01	Professional		$435.25	$608.64	$903.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.21 / $698.43 / $2,026.49	Professional		$478.21	$698.43	$2,026.49
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 $502.23 / $518.83 / $565.16	Professional		$502.23	$518.83	$565.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $639.07	Professional		$32.34	$32.34	$639.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.73 / $615.90 / $1,050.70	Professional		$447.73	$615.90	$1,050.70