Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.02 / $1,600.00 / $5,389.00	Facility		$443.02	$1,600.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.62 / $412.95 / $747.84	Professional		$280.62	$412.95	$747.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,942.31 / $3,246.89 / $7,081.88	Facility		$1,942.31	$3,246.89	$7,081.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.65 / $523.05 / $893.46	Professional		$366.65	$523.05	$893.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,378.17 / $1,538.56	Facility		$620.00	$1,378.17	$1,538.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.26 / $518.79 / $821.46	Professional		$334.26	$518.79	$821.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $421.49 / $653.77 / $1,198.86	Professional		$421.49	$653.77	$1,198.86
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 $378.31 / $391.48 / $607.07	Professional		$378.31	$391.48	$607.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $699.96	Professional		$32.34	$32.34	$699.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.42 / $583.89 / $1,014.96	Professional		$434.42	$583.89	$1,014.96