Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.88 / $1,289.00 / $5,091.00	Facility		$476.88	$1,289.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.35 / $284.92 / $463.30	Professional		$225.35	$284.92	$463.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,830.88 / $3,630.57 / $5,516.06	Facility		$1,830.88	$3,630.57	$5,516.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.24 / $785.00 / $2,720.17	Facility		$310.24	$785.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.41 / $376.14 / $552.29	Professional		$238.41	$376.14	$552.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $279.18 / $441.06 / $1,473.20	Professional		$279.18	$441.06	$1,473.20
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 $321.97 / $344.16 / $386.59	Professional		$321.97	$344.16	$386.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $437.15	Professional		$32.34	$32.34	$437.15
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 $233.63 / $327.06 / $600.80	Professional		$233.63	$327.06	$600.80