Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.03 / $1,842.00 / $5,405.00	Facility		$500.03	$1,842.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.02 / $267.97 / $500.03	Professional		$257.02	$267.97	$500.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,125.33 / $6,094.16 / $9,114.74	Facility		$3,125.33	$6,094.16	$9,114.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $503.42 / $594.69	Professional		$313.02	$503.42	$594.69
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 $278.13 / $379.96 / $585.12	Professional		$278.13	$379.96	$585.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $296.43 / $428.47 / $1,861.69	Professional		$296.43	$428.47	$1,861.69
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 $301.44 / $325.74 / $352.82	Professional		$301.44	$325.74	$352.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $407.10	Professional		$32.34	$32.34	$407.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $6,359.00 / $12,241.00	Facility		$1,300.00	$6,359.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $410.88 / $886.80	Professional		$283.00	$410.88	$886.80