Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.03 / $1,538.50 / $4,920.34	Facility		$584.03	$1,538.50	$4,920.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.60 / $441.08 / $833.46	Professional		$289.60	$441.08	$833.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,969.48 / $3,459.76 / $7,546.17	Facility		$1,969.48	$3,459.76	$7,546.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.77 / $582.47 / $976.51	Professional		$386.77	$582.47	$976.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,378.17 / $1,538.56	Facility		$620.00	$1,378.17	$1,538.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.20 / $545.55 / $879.21	Professional		$352.20	$545.55	$879.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $431.82 / $721.04 / $1,485.01	Professional		$431.82	$721.04	$1,485.01
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 $373.93 / $402.26 / $676.01	Professional		$373.93	$402.26	$676.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $764.41	Professional		$32.34	$32.34	$764.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.63 / $589.70 / $1,034.47	Professional		$427.63	$589.70	$1,034.47