Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.03 / $1,025.00 / $5,393.00	Facility		$401.03	$1,025.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.74 / $305.26 / $600.66	Professional		$254.74	$305.26	$600.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,918.54 / $3,089.45 / $6,351.77	Facility		$1,918.54	$3,089.45	$6,351.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.60 / $455.76 / $635.57	Professional		$329.60	$455.76	$635.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.33 / $445.04 / $626.35	Professional		$298.33	$445.04	$626.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $514.71 / $1,046.33	Professional		$345.40	$514.71	$1,046.33
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 $342.76 / $352.57 / $428.56	Professional		$342.76	$352.57	$428.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $484.60	Professional		$32.34	$32.34	$484.60
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 $296.33 / $397.38 / $694.35	Professional		$296.33	$397.38	$694.35