Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.90 / $1,045.00 / $4,500.00	Facility		$394.90	$1,045.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.50 / $364.55 / $677.08	Professional		$241.50	$364.55	$677.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,918.54 / $2,984.20 / $6,135.38	Facility		$1,918.54	$2,984.20	$6,135.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.57 / $466.45 / $793.67	Professional		$318.57	$466.45	$793.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,631.14 / $1,820.98	Facility		$620.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.94 / $450.99 / $715.88	Professional		$294.94	$450.99	$715.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $356.40 / $583.02 / $1,039.32	Professional		$356.40	$583.02	$1,039.32
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 $330.94 / $338.51 / $541.37	Professional		$330.94	$338.51	$541.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $612.16	Professional		$32.34	$32.34	$612.16
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 $372.38 / $503.84 / $868.23	Professional		$372.38	$503.84	$868.23