Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.80 / $1,842.00 / $5,389.00	Facility		$686.80	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.45 / $369.80 / $677.45	Professional		$334.45	$369.80	$677.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,453.42 / $3,401.23 / $6,914.79	Facility		$1,453.42	$3,401.23	$6,914.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.88 / $483.88 / $625.78	Professional		$403.88	$483.88	$625.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,300.00 / $9,951.00	Facility		$400.00	$1,300.00	$9,951.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.56 / $517.66 / $853.34	Professional		$367.56	$517.66	$853.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $388.70 / $582.12 / $2,187.19	Professional		$388.70	$582.12	$2,187.19
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 $415.64 / $443.44 / $481.25	Professional		$415.64	$443.44	$481.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $544.17	Professional		$32.34	$32.34	$544.17
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 $357.98 / $532.96 / $857.74	Professional		$357.98	$532.96	$857.74