Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.80 / $1,289.00 / $5,389.00	Facility		$616.80	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.03 / $390.83 / $681.18	Professional		$341.03	$390.83	$681.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.44 / $4,846.66 / $7,566.47	Facility		$2,511.44	$4,846.66	$7,566.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.61 / $532.66 / $665.62	Professional		$444.61	$532.66	$665.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $875.00 / $3,808.57	Facility		$300.00	$875.00	$3,808.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.31 / $529.87 / $774.29	Professional		$323.31	$529.87	$774.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $400.93 / $616.80 / $1,623.70	Professional		$400.93	$616.80	$1,623.70
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 $430.31 / $471.68 / $529.78	Professional		$430.31	$471.68	$529.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $599.04	Professional		$32.34	$32.34	$599.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,530.00 / $8,168.00	Facility		$1,172.00	$4,530.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.38 / $466.03 / $823.59	Professional		$341.38	$466.03	$823.59