Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.09 / $1,411.00 / $4,634.00	Facility		$473.09	$1,411.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.79 / $322.08 / $544.20	Professional		$252.79	$322.08	$544.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,704.06 / $4,857.85 / $9,928.21	Facility		$1,704.06	$4,857.85	$9,928.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.64 / $448.27 / $558.55	Professional		$300.64	$448.27	$558.55
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 $277.72 / $404.95 / $641.91	Professional		$277.72	$404.95	$641.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $482.00 / $1,262.26	Professional		$325.39	$482.00	$1,262.26
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 $306.95 / $325.26 / $445.84	Professional		$306.95	$325.26	$445.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $504.14	Professional		$32.34	$32.34	$504.14
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 $320.23 / $440.05 / $713.86	Professional		$320.23	$440.05	$713.86