Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.38 / $2,292.00 / $12,610.78	Facility		$620.38	$2,292.00	$12,610.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.82 / $467.45 / $734.35	Professional		$392.82	$467.45	$734.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,407.52 / $7,816.29 / $38,139.32	Facility		$3,407.52	$7,816.29	$38,139.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.90 / $541.37 / $786.96	Professional		$456.90	$541.37	$786.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.07 / $574.15 / $870.35	Professional		$405.07	$574.15	$870.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $383.75 / $624.10 / $1,469.58	Professional		$383.75	$624.10	$1,469.58
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 $419.87 / $474.41 / $530.28	Professional		$419.87	$474.41	$530.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $599.63	Professional		$32.34	$32.34	$599.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,570.00 / $23,725.00 / $68,049.00	Facility		$3,570.00	$23,725.00	$68,049.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.26 / $565.95 / $962.95	Professional		$410.26	$565.95	$962.95