Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.73 / $1,609.00 / $5,389.00	Facility		$494.73	$1,609.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.63 / $446.78 / $890.11	Professional		$282.63	$446.78	$890.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,901.72 / $4,069.95 / $6,750.28	Facility		$2,901.72	$4,069.95	$6,750.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.52 / $584.21 / $882.77	Professional		$407.52	$584.21	$882.77
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 $302.37 / $534.63 / $881.25	Professional		$302.37	$534.63	$881.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $375.56 / $716.01 / $1,592.63	Professional		$375.56	$716.01	$1,592.63
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 $391.07 / $424.00 / $716.01	Professional		$391.07	$424.00	$716.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $826.17	Professional		$32.34	$32.34	$826.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $3,620.00 / $6,514.00	Facility		$1,981.00	$3,620.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.87 / $617.91 / $1,068.76	Professional		$431.87	$617.91	$1,068.76