Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.41 / $1,848.00 / $5,393.00	Facility		$652.41	$1,848.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.26 / $580.37 / $994.59	Professional		$400.26	$580.37	$994.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.70 / $4,712.66 / $10,278.90	Facility		$2,796.70	$4,712.66	$10,278.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.49 / $800.46 / $1,020.04	Professional		$516.49	$800.46	$1,020.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.15 / $680.20 / $1,055.86	Professional		$476.15	$680.20	$1,055.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $452.68 / $802.93 / $2,240.19	Professional		$452.68	$802.93	$2,240.19
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 $542.32 / $550.80 / $768.92	Professional		$542.32	$550.80	$768.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $869.48	Professional		$32.34	$32.34	$869.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $547.14 / $714.14 / $1,230.38	Professional		$547.14	$714.14	$1,230.38