Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.75 / $1,568.00 / $5,091.00	Facility		$500.75	$1,568.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.99 / $444.50 / $857.60	Professional		$283.99	$444.50	$857.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,913.24 / $4,086.11 / $6,777.08	Facility		$2,913.24	$4,086.11	$6,777.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.77 / $579.14 / $880.34	Professional		$402.77	$579.14	$880.34
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 $306.24 / $536.77 / $877.12	Professional		$306.24	$536.77	$877.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $372.18 / $733.74 / $2,871.87	Professional		$372.18	$733.74	$2,871.87
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 $390.49 / $420.32 / $712.66	Professional		$390.49	$420.32	$712.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $822.30	Professional		$32.34	$32.34	$822.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,951.00 / $6,625.00	Facility		$1,600.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.02 / $627.22 / $1,116.14	Professional		$427.02	$627.22	$1,116.14