Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $1,379.00 / $5,091.00	Facility		$538.00	$1,379.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.53 / $420.45 / $740.36	Professional		$350.53	$420.45	$740.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,445.42 / $9,831.52	Facility		$3,878.08	$5,445.42	$9,831.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.66 / $700.59 / $851.79	Professional		$506.66	$700.59	$851.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $3,072.73 / $3,430.33	Facility		$463.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.02 / $588.03 / $859.43	Professional		$393.02	$588.03	$859.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $459.80 / $692.06 / $2,135.15	Professional		$459.80	$692.06	$2,135.15
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 $498.12 / $527.51 / $588.03	Professional		$498.12	$527.51	$588.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $664.93	Professional		$32.34	$32.34	$664.93
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.53 / $507.66 / $886.39	Professional		$377.53	$507.66	$886.39