Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.29 / $1,731.00 / $5,091.00	Facility		$583.29	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.20 / $374.16 / $603.28	Professional		$305.20	$374.16	$603.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,760.92 / $8,333.87 / $12,138.23	Facility		$3,760.92	$8,333.87	$12,138.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.01 / $613.96 / $744.92	Professional		$444.01	$613.96	$744.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $6,831.39 / $7,626.43	Facility		$620.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.51 / $515.30 / $705.58	Professional		$327.51	$515.30	$705.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $390.36 / $606.48 / $1,361.86	Professional		$390.36	$606.48	$1,361.86
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 $450.41 / $461.33 / $515.30	Professional		$450.41	$461.33	$515.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $582.69	Professional		$32.34	$32.34	$582.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,715.00 / $6,625.00	Facility		$1,600.00	$3,715.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.77 / $408.82 / $717.32	Professional		$291.77	$408.82	$717.32