Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.44 / $1,486.00 / $4,634.00	Facility		$561.44	$1,486.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.37 / $428.83 / $790.24	Professional		$280.37	$428.83	$790.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,918.54 / $3,218.24 / $7,019.40	Facility		$1,918.54	$3,218.24	$7,019.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.53 / $530.62 / $903.99	Professional		$367.53	$530.62	$903.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,631.14 / $1,820.98	Facility		$620.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.94 / $524.99 / $831.14	Professional		$333.94	$524.99	$831.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $415.95 / $663.03 / $1,141.63	Professional		$415.95	$663.03	$1,141.63
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 $377.98 / $391.09 / $615.84	Professional		$377.98	$391.09	$615.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $696.37	Professional		$32.34	$32.34	$696.37
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 $425.48 / $563.32 / $984.76	Professional		$425.48	$563.32	$984.76