Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.65 / $1,411.00 / $4,634.00	Facility		$484.65	$1,411.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.05 / $397.78 / $685.51	Professional		$269.05	$397.78	$685.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,892.79 / $4,464.57 / $6,729.51	Facility		$2,892.79	$4,464.57	$6,729.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.56 / $504.35 / $860.38	Professional		$347.56	$504.35	$860.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.19 / $496.46 / $791.05	Professional		$321.19	$496.46	$791.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $397.56 / $630.36 / $1,127.14	Professional		$397.56	$630.36	$1,127.14
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 $357.51 / $370.62 / $585.34	Professional		$357.51	$370.62	$585.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $661.88	Professional		$32.34	$32.34	$661.88
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 $411.49 / $557.36 / $952.71	Professional		$411.49	$557.36	$952.71