Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.96 / $1,521.00 / $5,580.00	Facility		$470.96	$1,521.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.05 / $440.70 / $790.85	Professional		$300.05	$440.70	$790.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,228.94 / $4,566.03 / $7,511.49	Facility		$3,228.94	$4,566.03	$7,511.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.40 / $547.00 / $934.12	Professional		$385.40	$547.00	$934.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.18 / $543.63 / $858.85	Professional		$351.18	$543.63	$858.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $437.27 / $683.68 / $1,408.95	Professional		$437.27	$683.68	$1,408.95
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 $397.23 / $411.29 / $634.84	Professional		$397.23	$411.29	$634.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $717.86	Professional		$32.34	$32.34	$717.86
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 $440.53 / $595.40 / $1,045.86	Professional		$440.53	$595.40	$1,045.86