Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.31 / $1,972.00 / $5,393.00	Facility		$706.31	$1,972.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.45 / $387.67 / $706.31	Professional		$359.45	$387.67	$706.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,449.86 / $7,485.41 / $17,473.09	Facility		$2,449.86	$7,485.41	$17,473.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.42 / $518.07 / $674.30	Professional		$432.42	$518.07	$674.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.89 / $1,855.00 / $12,772.52	Facility		$428.89	$1,855.00	$12,772.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.49 / $554.89 / $892.95	Professional		$373.49	$554.89	$892.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.17 / $634.16 / $2,181.54	Professional		$416.17	$634.16	$2,181.54
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 $434.77 / $477.83 / $515.26	Professional		$434.77	$477.83	$515.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $582.63	Professional		$32.34	$32.34	$582.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,528.00 / $14,716.00	Facility		$1,602.00	$7,528.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.00 / $551.54 / $856.26	Professional		$377.00	$551.54	$856.26