Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $1,411.00 / $4,634.00	Facility		$513.00	$1,411.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.07 / $346.23 / $587.39	Professional		$255.07	$346.23	$587.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,717.29 / $4,097.33 / $5,865.88	Facility		$1,717.29	$4,097.33	$5,865.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.86 / $405.05 / $602.89	Professional		$301.86	$405.05	$602.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $643.00 / $2,713.32	Facility		$400.00	$643.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.64 / $421.45 / $703.40	Professional		$277.64	$421.45	$703.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $327.02 / $513.54 / $1,114.68	Professional		$327.02	$513.54	$1,114.68
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 $318.02 / $327.05 / $481.27	Professional		$318.02	$327.05	$481.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $544.21	Professional		$32.34	$32.34	$544.21
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.16 / $474.88 / $791.96	Professional		$348.16	$474.88	$791.96