Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.13 / $1,207.00 / $4,634.00	Facility		$555.13	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.14 / $509.40 / $844.21	Professional		$348.14	$509.40	$844.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,903.11 / $4,332.52 / $7,085.48	Facility		$1,903.11	$4,332.52	$7,085.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.02 / $613.04 / $909.36	Professional		$415.02	$613.04	$909.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $500.00 / $2,713.32	Facility		$300.00	$500.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.85 / $580.37 / $990.64	Professional		$382.85	$580.37	$990.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $452.34 / $774.59 / $1,792.88	Professional		$452.34	$774.59	$1,792.88
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 $426.87 / $448.38 / $728.43	Professional		$426.87	$448.38	$728.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $823.69	Professional		$32.34	$32.34	$823.69
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $478.67 / $667.08 / $1,105.15	Professional		$478.67	$667.08	$1,105.15