Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.20 / $1,411.00 / $4,634.00	Facility		$531.20	$1,411.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.11 / $446.05 / $766.42	Professional		$318.11	$446.05	$766.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.92 / $5,777.17 / $9,928.21	Facility		$2,137.92	$5,777.17	$9,928.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.43 / $503.41 / $751.48	Professional		$373.43	$503.41	$751.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $643.00 / $5,676.58	Facility		$400.00	$643.00	$5,676.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $529.04 / $883.93	Professional		$353.07	$529.04	$883.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $404.54 / $644.15 / $1,481.38	Professional		$404.54	$644.15	$1,481.38
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 $392.82 / $406.21 / $598.14	Professional		$392.82	$406.21	$598.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $676.36	Professional		$32.34	$32.34	$676.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.20 / $600.44 / $1,007.43	Professional		$444.20	$600.44	$1,007.43