Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.49 / $2,118.00 / $5,393.00	Facility		$577.49	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $286.93 / $543.39	Professional		$266.70	$286.93	$543.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,818.45 / $5,183.95 / $10,472.14	Facility		$1,818.45	$5,183.95	$10,472.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.36 / $386.21 / $502.11	Professional		$322.36	$386.21	$502.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.77 / $709.00 / $6,170.42	Facility		$317.77	$709.00	$6,170.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.70 / $416.16 / $662.16	Professional		$287.70	$416.16	$662.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $325.02 / $472.75 / $1,418.56	Professional		$325.02	$472.75	$1,418.56
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 $323.06 / $355.81 / $384.11	Professional		$323.06	$355.81	$384.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $434.34	Professional		$32.34	$32.34	$434.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $7,055.00 / $14,468.00	Facility		$2,575.00	$7,055.00	$14,468.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.99 / $431.52 / $695.40	Professional		$280.99	$431.52	$695.40