Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,835.00 / $5,389.00	Facility		$471.00	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.77 / $293.74 / $546.57	Professional		$265.77	$293.74	$546.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,179.36 / $2,844.69 / $5,491.20	Facility		$1,179.36	$2,844.69	$5,491.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.05 / $384.65 / $497.64	Professional		$321.05	$384.65	$497.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.64 / $643.00 / $1,681.46	Facility		$318.64	$643.00	$1,681.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.76 / $407.06 / $630.41	Professional		$291.76	$407.06	$630.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.26 / $461.16 / $1,382.77	Professional		$323.26	$461.16	$1,382.77
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 $331.15 / $352.65 / $382.55	Professional		$331.15	$352.65	$382.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $432.58	Professional		$32.34	$32.34	$432.58
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.13 / $414.16 / $686.16	Professional		$281.13	$414.16	$686.16