Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.63 / $1,379.00 / $5,091.00	Facility		$622.63	$1,379.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.19 / $365.41 / $748.78	Professional		$298.19	$365.41	$748.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,340.94 / $3,882.47 / $8,468.17	Facility		$2,340.94	$3,882.47	$8,468.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.36 / $614.65 / $700.43	Professional		$474.36	$614.65	$700.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,799.73 / $2,009.18	Facility		$463.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.89 / $549.38 / $777.43	Professional		$350.89	$549.38	$777.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $404.87 / $626.29 / $2,830.60	Professional		$404.87	$626.29	$2,830.60
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 $439.31 / $476.13 / $531.91	Professional		$439.31	$476.13	$531.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $601.48	Professional		$32.34	$32.34	$601.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.38 / $466.91 / $789.81	Professional		$327.38	$466.91	$789.81