Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.94 / $1,758.00 / $5,389.00	Facility		$392.94	$1,758.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.58 / $277.77 / $518.41	Professional		$171.58	$277.77	$518.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,997.68 / $3,904.57 / $5,817.47	Facility		$1,997.68	$3,904.57	$5,817.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.68 / $417.75 / $700.71	Professional		$274.68	$417.75	$700.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.73 / $380.10 / $615.75	Professional		$231.73	$380.10	$615.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $303.27 / $510.73 / $958.01	Professional		$303.27	$510.73	$958.01
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 $267.01 / $285.92 / $484.85	Professional		$267.01	$285.92	$484.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $548.25	Professional		$32.34	$32.34	$548.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,951.00 / $7,295.00	Facility		$1,499.00	$3,951.00	$7,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.47 / $394.24 / $687.92	Professional		$281.47	$394.24	$687.92