Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.53 / $1,609.00 / $5,091.00	Facility		$505.53	$1,609.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.77 / $450.80 / $892.40	Professional		$300.77	$450.80	$892.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,035.70 / $4,087.34 / $7,061.96	Facility		$3,035.70	$4,087.34	$7,061.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.56 / $614.80 / $910.19	Professional		$426.56	$614.80	$910.19
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 $324.73 / $553.28 / $910.93	Professional		$324.73	$553.28	$910.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $394.20 / $756.69 / $1,581.40	Professional		$394.20	$756.69	$1,581.40
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 $414.82 / $446.20 / $735.53	Professional		$414.82	$446.20	$735.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $848.69	Professional		$32.34	$32.34	$848.69
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 $455.06 / $641.79 / $1,135.55	Professional		$455.06	$641.79	$1,135.55