Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.30 / $1,365.00 / $5,091.00	Facility		$529.30	$1,365.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.19 / $324.45 / $574.97	Professional		$263.19	$324.45	$574.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,184.84 / $7,057.32 / $36,437.11	Facility		$3,184.84	$7,057.32	$36,437.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.97 / $525.66 / $595.45	Professional		$360.97	$525.66	$595.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $39,300.06 / $43,873.81	Facility		$463.00	$39,300.06	$43,873.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.56 / $465.25 / $664.88	Professional		$300.56	$465.25	$664.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $350.04 / $533.71 / $1,273.86	Professional		$350.04	$533.71	$1,273.86
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 $365.74 / $404.77 / $454.92	Professional		$365.74	$404.77	$454.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $514.41	Professional		$32.34	$32.34	$514.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $8,100.00 / $21,651.00	Facility		$2,600.00	$8,100.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.26 / $413.45 / $690.52	Professional		$294.26	$413.45	$690.52