Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.02 / $2,118.00 / $5,393.00	Facility		$330.02	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.44 / $176.65 / $332.04	Professional		$159.44	$176.65	$332.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,724.18 / $3,820.63 / $5,513.06	Facility		$1,724.18	$3,820.63	$5,513.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.73 / $278.95 / $349.54	Professional		$201.73	$278.95	$349.54
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 $183.17 / $266.43 / $447.00	Professional		$183.17	$266.43	$447.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.82 / $304.32 / $1,097.45	Professional		$199.82	$304.32	$1,097.45
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 $211.76 / $216.48 / $234.13	Professional		$211.76	$216.48	$234.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $264.75	Professional		$32.34	$32.34	$264.75
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 $162.88 / $241.49 / $437.48	Professional		$162.88	$241.49	$437.48