Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.71 / $1,486.00 / $4,634.00	Facility		$515.71	$1,486.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.53 / $392.88 / $672.86	Professional		$254.53	$392.88	$672.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,720.74 / $4,464.57 / $6,329.27	Facility		$2,720.74	$4,464.57	$6,329.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.87 / $470.79 / $807.10	Professional		$325.87	$470.79	$807.10
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 $305.63 / $478.24 / $744.57	Professional		$305.63	$478.24	$744.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $376.81 / $604.61 / $1,442.02	Professional		$376.81	$604.61	$1,442.02
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 $341.59 / $349.90 / $546.40	Professional		$341.59	$349.90	$546.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $617.86	Professional		$32.34	$32.34	$617.86
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 $393.13 / $537.13 / $917.32	Professional		$393.13	$537.13	$917.32