Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.00 / $1,758.00 / $5,389.00	Facility		$459.00	$1,758.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.22 / $340.73 / $601.41	Professional		$221.22	$340.73	$601.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,450.19 / $4,450.93 / $6,117.54	Facility		$2,450.19	$4,450.93	$6,117.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.76 / $443.02 / $754.35	Professional		$294.76	$443.02	$754.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.31 / $439.46 / $692.48	Professional		$276.31	$439.46	$692.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $342.10 / $567.79 / $1,157.66	Professional		$342.10	$567.79	$1,157.66
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 $303.37 / $313.77 / $514.16	Professional		$303.37	$313.77	$514.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $581.40	Professional		$32.34	$32.34	$581.40
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 $357.18 / $484.59 / $853.93	Professional		$357.18	$484.59	$853.93