Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.72 / $2,095.00 / $5,393.00	Facility		$700.72	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $412.64 / $809.79	Professional		$368.06	$412.64	$809.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,147.77 / $8,563.78 / $12,490.45	Facility		$4,147.77	$8,563.78	$12,490.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.37 / $687.75 / $865.25	Professional		$497.37	$687.75	$865.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $11,027.98 / $12,311.41	Facility		$709.00	$11,027.98	$12,311.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.76 / $624.53 / $918.79	Professional		$440.76	$624.53	$918.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $488.44 / $723.04 / $2,006.57	Professional		$488.44	$723.04	$2,006.57
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 $519.29 / $535.85 / $577.25	Professional		$519.29	$535.85	$577.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $652.74	Professional		$32.34	$32.34	$652.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.82 / $555.72 / $947.13	Professional		$404.82	$555.72	$947.13