Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.43 / $1,129.00 / $4,634.00	Facility		$418.43	$1,129.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.12 / $387.13 / $703.68	Professional		$254.12	$387.13	$703.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,918.54 / $3,103.03 / $6,566.57	Facility		$1,918.54	$3,103.03	$6,566.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.95 / $494.14 / $844.07	Professional		$339.95	$494.14	$844.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,631.14 / $1,820.98	Facility		$620.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.14 / $485.60 / $776.06	Professional		$313.14	$485.60	$776.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $385.29 / $617.62 / $1,245.96	Professional		$385.29	$617.62	$1,245.96
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 $353.39 / $363.19 / $573.51	Professional		$353.39	$363.19	$573.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $648.51	Professional		$32.34	$32.34	$648.51
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 $396.23 / $531.73 / $953.63	Professional		$396.23	$531.73	$953.63