Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,439.81 / $4,961.00	Facility		$600.00	$1,439.81	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.81 / $495.21 / $763.83	Professional		$325.81	$495.21	$763.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,903.11 / $4,293.41 / $6,839.62	Facility		$1,903.11	$4,293.41	$6,839.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.22 / $608.51 / $919.15	Professional		$598.22	$608.51	$919.15
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 $369.69 / $569.80 / $971.15	Professional		$369.69	$569.80	$971.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.47 / $742.00 / $2,336.17	Professional		$436.47	$742.00	$2,336.17
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 $413.04 / $432.97 / $709.27	Professional		$413.04	$432.97	$709.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $802.02	Professional		$32.34	$32.34	$802.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,704.51 / $4,636.00	Facility		$1,000.00	$2,704.51	$4,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.90 / $637.66 / $1,076.33	Professional		$460.90	$637.66	$1,076.33