Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.86 / $1,568.00 / $5,389.00	Facility		$501.86	$1,568.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.18 / $527.20 / $892.45	Professional		$263.18	$527.20	$892.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,259.12 / $4,745.76 / $7,375.07	Facility		$2,259.12	$4,745.76	$7,375.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.70 / $614.78 / $1,265.08	Professional		$317.70	$614.78	$1,265.08
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 $282.73 / $578.29 / $1,008.74	Professional		$282.73	$578.29	$1,008.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $355.56 / $809.44 / $2,327.94	Professional		$355.56	$809.44	$2,327.94
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 $307.33 / $330.16 / $765.05	Professional		$307.33	$330.16	$765.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $882.75	Professional		$32.34	$32.34	$882.75
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 $598.37 / $897.56 / $1,580.72	Professional		$598.37	$897.56	$1,580.72