Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.70 / $1,486.00 / $4,634.00	Facility		$538.70	$1,486.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.56 / $435.99 / $825.76	Professional		$285.56	$435.99	$825.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,239.17 / $4,566.03 / $7,535.28	Facility		$3,239.17	$4,566.03	$7,535.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.98 / $555.99 / $947.54	Professional		$386.98	$555.99	$947.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.75 / $555.04 / $872.00	Professional		$353.75	$555.04	$872.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $438.16 / $694.92 / $1,452.87	Professional		$438.16	$694.92	$1,452.87
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 $397.84 / $411.94 / $645.28	Professional		$397.84	$411.94	$645.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $729.66	Professional		$32.34	$32.34	$729.66
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 $438.71 / $596.64 / $1,053.77	Professional		$438.71	$596.64	$1,053.77