Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.30 / $3,221.00 / $6,881.17	Facility		$479.30	$3,221.00	$6,881.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.34 / $290.14 / $629.76	Professional		$244.34	$290.14	$629.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,769.77 / $5,045.16 / $9,928.21	Facility		$1,769.77	$5,045.16	$9,928.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.93 / $375.05 / $467.93	Professional		$313.93	$375.05	$467.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.14 / $875.00 / $5,676.58	Facility		$306.14	$875.00	$5,676.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.02 / $381.45 / $568.04	Professional		$269.02	$381.45	$568.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $306.76 / $442.87 / $1,335.67	Professional		$306.76	$442.87	$1,335.67
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 $324.12 / $338.66 / $373.01	Professional		$324.12	$338.66	$373.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $421.79	Professional		$32.34	$32.34	$421.79
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 $260.33 / $357.37 / $643.05	Professional		$260.33	$357.37	$643.05