Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,995.26 / $7,762.47	Facility		$676.08	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $831.76	Professional		$338.84	$398.11	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,011.87 / $7,079.46	Facility		$2,754.23	$5,011.87	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $660.69	Professional		$446.68	$524.81	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,000.00 / $3,801.89	Facility		$302.00	$1,000.00	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $812.83	Professional		$288.40	$489.78	$812.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,047.13 / $1,862.09	Professional		$398.11	$1,047.13	$1,862.09
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 $426.58 / $467.74 / $524.81	Professional		$426.58	$467.74	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $537.03	Professional		$32.36	$33.11	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,365.16 / $9,332.54	Facility		$1,584.89	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $758.58	Professional		$323.59	$436.52	$758.58