Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,609.00 / $5,430.00	Facility		$463.00	$1,609.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $147.80 / $273.58	Professional		$126.63	$147.80	$273.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,134.59 / $5,482.40 / $12,753.70	Facility		$1,134.59	$5,482.40	$12,753.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $890.00 / $890.00 / $890.00	Professional		$890.00	$890.00	$890.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $3,150.00 / $3,589.00	Facility		$463.00	$3,150.00	$3,589.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.10 / $215.18 / $324.19	Professional		$147.10	$215.18	$324.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $179.51 / $273.58 / $2,379.10	Professional		$179.51	$273.58	$2,379.10
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 $186.69 / $186.69 / $186.69	Professional		$186.69	$186.69	$186.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $660.00 / $1,689.00 / $4,256.00	Facility		$660.00	$1,689.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.62 / $192.74 / $338.48	Professional		$131.62	$192.74	$338.48