Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.14 / $1,609.00 / $5,393.00	Facility		$574.14	$1,609.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.91 / $441.01 / $750.34	Professional		$315.91	$441.01	$750.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,420.83 / $4,420.83 / $7,978.65	Facility		$3,420.83	$4,420.83	$7,978.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.69 / $567.89 / $945.49	Professional		$410.69	$567.89	$945.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $2,338.66 / $2,610.83	Facility		$709.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.88 / $564.66 / $869.31	Professional		$374.88	$564.66	$869.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $450.42 / $690.28 / $1,361.86	Professional		$450.42	$690.28	$1,361.86
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 $424.49 / $439.05 / $640.98	Professional		$424.49	$439.05	$640.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $724.80	Professional		$32.34	$32.34	$724.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.67 / $598.97 / $1,048.67	Professional		$448.67	$598.97	$1,048.67