Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.86 / $1,411.00 / $4,634.00	Facility		$519.86	$1,411.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.10 / $506.87 / $933.07	Professional		$322.10	$506.87	$933.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,538.05 / $4,633.68 / $8,230.57	Facility		$3,538.05	$4,633.68	$8,230.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.49 / $595.48 / $1,011.15	Professional		$413.49	$595.48	$1,011.15
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 $387.41 / $601.72 / $930.34	Professional		$387.41	$601.72	$930.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.17 / $770.72 / $2,259.90	Professional		$467.17	$770.72	$2,259.90
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 $419.68 / $437.91 / $691.12	Professional		$419.68	$437.91	$691.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $781.50	Professional		$32.34	$32.34	$781.50
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 $502.80 / $679.83 / $1,180.03	Professional		$502.80	$679.83	$1,180.03