Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.48 / $1,842.00 / $5,140.00	Facility		$649.48	$1,842.00	$5,140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.08 / $445.92 / $871.15	Professional		$386.08	$445.92	$871.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,420.83 / $5,202.62 / $10,427.08	Facility		$3,420.83	$5,202.62	$10,427.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.22 / $737.32 / $917.09	Professional		$533.22	$737.32	$917.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,338.66 / $2,610.83	Facility		$875.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.73 / $642.66 / $953.40	Professional		$458.73	$642.66	$953.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $499.84 / $764.56 / $1,597.29	Professional		$499.84	$764.56	$1,597.29
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 $542.62 / $567.96 / $618.85	Professional		$542.62	$567.96	$618.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $702.66	Professional		$32.34	$32.34	$702.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.36 / $580.17 / $1,005.41	Professional		$431.36	$580.17	$1,005.41