Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.45 / $1,055.00 / $4,634.00	Facility		$434.45	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.06 / $386.12 / $628.28	Professional		$264.06	$386.12	$628.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,127.84 / $2,646.85 / $5,365.86	Facility		$1,127.84	$2,646.85	$5,365.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.95 / $445.99 / $662.51	Professional		$306.95	$445.99	$662.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $480.00 / $1,000.00	Facility		$300.00	$480.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.62 / $434.03 / $716.45	Professional		$254.62	$434.03	$716.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $312.64 / $553.26 / $1,298.47	Professional		$312.64	$553.26	$1,298.47
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 $329.67 / $332.23 / $529.91	Professional		$329.67	$332.23	$529.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $599.22	Professional		$32.34	$32.34	$599.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,374.00 / $4,636.00	Facility		$1,000.00	$2,374.00	$4,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $479.84 / $856.12	Professional		$338.84	$479.84	$856.12