Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.66 / $1,289.00 / $5,091.00	Facility		$529.66	$1,289.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $298.83 / $522.37	Professional		$257.89	$298.83	$522.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.65 / $2,175.50 / $5,336.33	Facility		$1,121.65	$2,175.50	$5,336.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.42 / $373.11 / $482.30	Professional		$311.42	$373.11	$482.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.95 / $785.00 / $1,231.60	Facility		$308.95	$785.00	$1,231.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.42 / $385.35 / $572.13	Professional		$265.42	$385.35	$572.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $306.69 / $446.93 / $1,461.14	Professional		$306.69	$446.93	$1,461.14
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 $320.61 / $341.77 / $371.09	Professional		$320.61	$341.77	$371.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $419.61	Professional		$32.34	$32.34	$419.61
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 $276.13 / $409.74 / $628.17	Professional		$276.13	$409.74	$628.17