Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.07 / $2,543.00 / $7,780.00	Facility		$377.07	$2,543.00	$7,780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.32 / $346.85 / $542.45	Professional		$209.32	$346.85	$542.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,419.52 / $3,644.14 / $5,510.44	Facility		$1,419.52	$3,644.14	$5,510.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $378.28 / $617.53	Professional		$253.36	$378.28	$617.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.72 / $1,383.00 / $2,713.32	Facility		$367.72	$1,383.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.96 / $373.28 / $663.54	Professional		$232.96	$373.28	$663.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $280.36 / $515.70 / $1,175.99	Professional		$280.36	$515.70	$1,175.99
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 $262.51 / $272.83 / $496.34	Professional		$262.51	$272.83	$496.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $561.25	Professional		$32.34	$32.34	$561.25
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 $313.07 / $438.48 / $734.49	Professional		$313.07	$438.48	$734.49