Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.28 / $1,365.00 / $5,091.00	Facility		$371.28	$1,365.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.40 / $318.26 / $555.26	Professional		$127.40	$318.26	$555.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,377.74 / $2,585.21 / $3,583.03	Facility		$1,377.74	$2,585.21	$3,583.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.26 / $404.23 / $666.81	Professional		$176.26	$404.23	$666.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,799.73 / $2,009.18	Facility		$875.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.54 / $328.98 / $672.94	Professional		$162.54	$328.98	$672.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $205.25 / $544.53 / $1,675.57	Professional		$205.25	$544.53	$1,675.57
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 $175.93 / $182.91 / $500.93	Professional		$175.93	$182.91	$500.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $566.44	Professional		$32.34	$32.34	$566.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.95 / $559.05 / $854.97	Professional		$378.95	$559.05	$854.97