Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.97 / $1,228.00 / $5,393.00	Facility		$515.97	$1,228.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.67 / $477.52 / $842.86	Professional		$336.67	$477.52	$842.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.73 / $3,967.49 / $8,653.60	Facility		$2,118.73	$3,967.49	$8,653.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.95 / $622.17 / $1,046.00	Professional		$449.95	$622.17	$1,046.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.99 / $602.54 / $941.79	Professional		$402.99	$602.54	$941.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $465.90 / $762.40 / $1,613.86	Professional		$465.90	$762.40	$1,613.86
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 $465.67 / $477.13 / $713.64	Professional		$465.67	$477.13	$713.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $806.96	Professional		$32.34	$32.34	$806.96
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 $463.30 / $637.04 / $1,135.55	Professional		$463.30	$637.04	$1,135.55