Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,118.00 / $5,393.00	Facility		$711.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.96 / $437.54 / $764.42	Professional		$391.96	$437.54	$764.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,907.91 / $4,157.66 / $8,205.00	Facility		$1,907.91	$4,157.66	$8,205.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.98 / $578.64 / $739.36	Professional		$482.98	$578.64	$739.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $709.00 / $2,720.17	Facility		$450.00	$709.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.39 / $597.64 / $888.99	Professional		$399.39	$597.64	$888.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $442.88 / $677.32 / $1,597.53	Professional		$442.88	$677.32	$1,597.53
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 $500.70 / $523.94 / $575.50	Professional		$500.70	$523.94	$575.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $650.75	Professional		$32.34	$32.34	$650.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.46 / $539.02 / $948.44	Professional		$405.46	$539.02	$948.44