Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,169.00 / $4,634.00	Facility		$438.00	$1,169.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.19 / $292.14 / $530.37	Professional		$248.19	$292.14	$530.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,784.93 / $4,464.57 / $6,478.59	Facility		$2,784.93	$4,464.57	$6,478.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.51 / $462.54 / $636.17	Professional		$334.51	$462.54	$636.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $3,072.73 / $3,430.33	Facility		$463.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.56 / $418.09 / $592.10	Professional		$263.56	$418.09	$592.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $326.94 / $484.91 / $1,156.95	Professional		$326.94	$484.91	$1,156.95
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 $334.82 / $347.97 / $439.84	Professional		$334.82	$347.97	$439.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $497.36	Professional		$32.34	$32.34	$497.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,493.00 / $6,482.00	Facility		$1,600.00	$3,493.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.06 / $345.74 / $642.98	Professional		$239.06	$345.74	$642.98