Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.00 / $1,041.07 / $4,634.00	Facility		$446.00	$1,041.07	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.27 / $424.02 / $818.43	Professional		$281.27	$424.02	$818.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,942.31 / $3,337.03 / $7,278.49	Facility		$1,942.31	$3,337.03	$7,278.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.13 / $564.02 / $947.95	Professional		$373.13	$564.02	$947.95
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 $349.78 / $541.91 / $862.30	Professional		$349.78	$541.91	$862.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $419.52 / $722.54 / $1,499.29	Professional		$419.52	$722.54	$1,499.29
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 $364.36 / $389.56 / $654.60	Professional		$364.36	$389.56	$654.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $749.94	Professional		$32.34	$32.34	$749.94
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 $428.57 / $588.70 / $996.83	Professional		$428.57	$588.70	$996.83