Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.75 / $1,731.00 / $5,665.00	Facility		$354.75	$1,731.00	$5,665.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.75 / $348.60 / $678.83	Professional		$271.75	$348.60	$678.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,683.04 / $4,027.67 / $6,241.57	Facility		$2,683.04	$4,027.67	$6,241.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.77 / $453.53 / $658.30	Professional		$379.77	$453.53	$658.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.47 / $449.79 / $696.46	Professional		$314.47	$449.79	$696.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $353.19 / $562.29 / $1,474.79	Professional		$353.19	$562.29	$1,474.79
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 $378.86 / $401.45 / $526.37	Professional		$378.86	$401.45	$526.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $595.20	Professional		$32.34	$32.34	$595.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,733.00 / $6,625.00	Facility		$1,600.00	$3,733.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.46 / $485.63 / $841.18	Professional		$348.46	$485.63	$841.18