Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.24 / $1,823.00 / $5,519.00	Facility		$526.24	$1,823.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $384.23 / $649.58	Professional		$273.39	$384.23	$649.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,850.62 / $4,225.80 / $5,983.73	Facility		$1,850.62	$4,225.80	$5,983.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.13 / $440.00 / $651.91	Professional		$328.13	$440.00	$651.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $709.00 / $2,713.32	Facility		$450.00	$709.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.69 / $449.87 / $733.80	Professional		$301.69	$449.87	$733.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $353.33 / $555.32 / $1,555.64	Professional		$353.33	$555.32	$1,555.64
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 $340.24 / $353.33 / $522.80	Professional		$340.24	$353.33	$522.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $591.17	Professional		$32.34	$32.34	$591.17
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 $371.72 / $516.52 / $842.53	Professional		$371.72	$516.52	$842.53