Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.29 / $1,305.00 / $5,405.00	Facility		$335.29	$1,305.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.11 / $634.28 / $1,183.50	Professional		$176.11	$634.28	$1,183.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,121.44 / $4,134.57 / $6,183.88	Facility		$2,121.44	$4,134.57	$6,183.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.33 / $685.44 / $1,524.13	Professional		$212.33	$685.44	$1,524.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.47 / $445.67 / $1,239.41	Professional		$209.47	$445.67	$1,239.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $246.34 / $928.04 / $2,810.74	Professional		$246.34	$928.04	$2,810.74
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 $204.27 / $220.86 / $928.04	Professional		$204.27	$220.86	$928.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,070.82	Professional		$32.34	$32.34	$1,070.82
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $680.94 / $1,055.32 / $1,843.80	Professional		$680.94	$1,055.32	$1,843.80