Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.88 / $1,017.00 / $4,944.00	Facility		$390.88	$1,017.00	$4,944.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.53 / $361.79 / $641.95	Professional		$240.53	$361.79	$641.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,587.44 / $4,464.57 / $6,290.98	Facility		$2,587.44	$4,464.57	$6,290.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.43 / $455.58 / $777.87	Professional		$308.43	$455.58	$777.87
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 $289.12 / $448.83 / $715.19	Professional		$289.12	$448.83	$715.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $349.16 / $585.54 / $1,184.38	Professional		$349.16	$585.54	$1,184.38
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 $321.87 / $329.49 / $528.74	Professional		$321.87	$329.49	$528.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $597.88	Professional		$32.34	$32.34	$597.88
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 $369.13 / $513.64 / $879.35	Professional		$369.13	$513.64	$879.35