Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.69 / $1,486.00 / $4,634.00	Facility		$433.69	$1,486.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.80 / $329.47 / $583.66	Professional		$212.80	$329.47	$583.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.13 / $4,295.45 / $5,918.93	Facility		$2,275.13	$4,295.45	$5,918.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.77 / $413.52 / $707.71	Professional		$273.77	$413.52	$707.71
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 $256.64 / $415.50 / $657.13	Professional		$256.64	$415.50	$657.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $327.58 / $530.15 / $1,248.26	Professional		$327.58	$530.15	$1,248.26
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 $287.63 / $293.70 / $479.92	Professional		$287.63	$293.70	$479.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $542.67	Professional		$32.34	$32.34	$542.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,951.00 / $7,295.00	Facility		$1,499.00	$3,951.00	$7,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.04 / $470.92 / $809.39	Professional		$347.04	$470.92	$809.39