Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.97 / $1,758.00 / $5,389.00	Facility		$493.97	$1,758.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.19 / $364.50 / $637.66	Professional		$241.19	$364.50	$637.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,612.08 / $4,464.57 / $6,290.98	Facility		$2,612.08	$4,464.57	$6,290.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $463.27 / $790.15	Professional		$314.64	$463.27	$790.15
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 $294.51 / $469.11 / $727.60	Professional		$294.51	$469.11	$727.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $358.22 / $597.83 / $1,191.63	Professional		$358.22	$597.83	$1,191.63
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 $326.20 / $335.56 / $537.66	Professional		$326.20	$335.56	$537.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $607.98	Professional		$32.34	$32.34	$607.98
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 $381.60 / $517.40 / $881.01	Professional		$381.60	$517.40	$881.01