Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.84 / $1,486.00 / $4,634.00	Facility		$593.84	$1,486.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.80 / $343.86 / $637.14	Professional		$284.80	$343.86	$637.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,057.48 / $3,614.35 / $7,883.36	Facility		$2,057.48	$3,614.35	$7,883.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.41 / $561.98 / $764.27	Professional		$406.41	$561.98	$764.27
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 $338.40 / $489.83 / $714.86	Professional		$338.40	$489.83	$714.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $399.56 / $575.80 / $1,491.74	Professional		$399.56	$575.80	$1,491.74
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 $402.75 / $423.07 / $528.03	Professional		$402.75	$423.07	$528.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $597.08	Professional		$32.34	$32.34	$597.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,465.00 / $4,780.00	Facility		$1,095.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.88 / $440.61 / $790.28	Professional		$320.88	$440.61	$790.28