Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,365.00 / $5,091.00	Facility		$463.00	$1,365.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.98 / $250.84 / $491.61	Professional		$221.98	$250.84	$491.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,936.57 / $2,862.06 / $5,728.13	Facility		$1,936.57	$2,862.06	$5,728.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.83 / $404.06 / $478.14	Professional		$311.83	$404.06	$478.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,378.17 / $1,538.56	Facility		$463.00	$1,378.17	$1,538.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.02 / $377.59 / $619.16	Professional		$270.02	$377.59	$619.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $297.23 / $430.38 / $1,445.05	Professional		$297.23	$430.38	$1,445.05
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 $308.57 / $325.02 / $349.69	Professional		$308.57	$325.02	$349.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $395.42	Professional		$32.34	$32.34	$395.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.97 / $444.15 / $766.81	Professional		$250.97	$444.15	$766.81