Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.57 / $2,758.00 / $5,580.00	Facility		$769.57	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.59 / $433.57 / $769.57	Professional		$360.59	$433.57	$769.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,445.42 / $10,138.33	Facility		$3,878.08	$5,445.42	$10,138.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.45 / $719.66 / $875.49	Professional		$520.45	$719.66	$875.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.98 / $627.27 / $882.82	Professional		$430.98	$627.27	$882.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $485.14 / $713.19 / $1,771.14	Professional		$485.14	$713.19	$1,771.14
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 $509.44 / $542.19 / $604.03	Professional		$509.44	$542.19	$604.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $683.02	Professional		$32.34	$32.34	$683.02
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 $389.47 / $525.21 / $918.76	Professional		$389.47	$525.21	$918.76