Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.11 / $2,109.00 / $5,500.00	Facility		$532.11	$2,109.00	$5,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.64 / $395.10 / $677.55	Professional		$257.64	$395.10	$677.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,723.89 / $4,464.57 / $6,336.58	Facility		$2,723.89	$4,464.57	$6,336.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.23 / $474.12 / $812.74	Professional		$326.23	$474.12	$812.74
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 $305.81 / $486.77 / $753.44	Professional		$305.81	$486.77	$753.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $377.26 / $611.73 / $1,812.38	Professional		$377.26	$611.73	$1,812.38
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 $342.00 / $350.31 / $550.26	Professional		$342.00	$350.31	$550.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $622.22	Professional		$32.34	$32.34	$622.22
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 $404.58 / $559.20 / $923.87	Professional		$404.58	$559.20	$923.87