Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.21 / $2,800.00 / $8,631.00	Facility		$627.21	$2,800.00	$8,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.05 / $438.55 / $625.65	Professional		$406.05	$438.55	$625.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,904.74 / $6,213.36 / $12,442.25	Facility		$2,904.74	$6,213.36	$12,442.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.37 / $681.77 / $804.39	Professional		$429.37	$681.77	$804.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,140.00 / $7,429.00 / $16,193.00	Facility		$7,140.00	$7,429.00	$16,193.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.39 / $598.75 / $865.51	Professional		$404.39	$598.75	$865.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $387.16 / $580.74 / $1,655.55	Professional		$387.16	$580.74	$1,655.55
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 $454.99 / $473.60 / $503.31	Professional		$454.99	$473.60	$503.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $569.13	Professional		$32.34	$32.34	$569.13
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.70 / $624.85 / $1,026.82	Professional		$410.70	$624.85	$1,026.82