Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.38 / $1,758.00 / $5,389.00	Facility		$334.38	$1,758.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.26 / $290.72 / $521.41	Professional		$164.26	$290.72	$521.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.46 / $3,901.03 / $12,138.23	Facility		$1,760.46	$3,901.03	$12,138.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.90 / $367.58 / $633.24	Professional		$212.90	$367.58	$633.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,831.39 / $7,626.43	Facility		$709.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.38 / $341.70 / $591.02	Professional		$201.38	$341.70	$591.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $250.70 / $482.67 / $1,142.90	Professional		$250.70	$482.67	$1,142.90
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 $223.67 / $227.64 / $431.64	Professional		$223.67	$227.64	$431.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $488.08	Professional		$32.34	$32.34	$488.08
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 $319.20 / $450.34 / $730.12	Professional		$319.20	$450.34	$730.12