Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,476.00 / $5,389.00	Facility		$463.00	$1,476.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.48 / $259.62 / $362.15	Professional		$228.48	$259.62	$362.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,903.11 / $4,631.47 / $5,916.12	Facility		$1,903.11	$4,631.47	$5,916.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $480.00 / $2,713.32	Facility		$277.02	$480.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.02 / $349.96 / $528.82	Professional		$232.02	$349.96	$528.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $259.79 / $855.28	Professional		$178.61	$259.79	$855.28
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 $182.05 / $194.29 / $211.08	Professional		$182.05	$194.29	$211.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $99.05 / $2,500.00	Professional		$96.38	$99.05	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,482.00	Facility		$1,282.00	$3,751.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.90 / $334.93 / $561.22	Professional		$238.90	$334.93	$561.22