Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.57 / $1,620.00 / $5,389.00	Facility		$516.57	$1,620.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.95 / $376.16 / $646.54	Professional		$254.95	$376.16	$646.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,739.29 / $4,464.57 / $6,372.40	Facility		$2,739.29	$4,464.57	$6,372.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.96 / $484.52 / $813.03	Professional		$329.96	$484.52	$813.03
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 $302.39 / $487.91 / $745.20	Professional		$302.39	$487.91	$745.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $378.56 / $611.95 / $1,297.40	Professional		$378.56	$611.95	$1,297.40
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 $340.41 / $352.03 / $552.86	Professional		$340.41	$352.03	$552.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $625.16	Professional		$32.34	$32.34	$625.16
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 $394.64 / $522.61 / $918.34	Professional		$394.64	$522.61	$918.34