Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.11 / $1,305.00 / $5,093.00	Facility		$359.11	$1,305.00	$5,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.77 / $349.78 / $646.49	Professional		$243.77	$349.78	$646.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,936.57 / $2,776.36 / $5,556.60	Facility		$1,936.57	$2,776.36	$5,556.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.14 / $453.49 / $656.96	Professional		$334.14	$453.49	$656.96
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 $285.36 / $423.32 / $676.11	Professional		$285.36	$423.32	$676.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $550.16 / $1,113.36	Professional		$330.09	$550.16	$1,113.36
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 $332.11 / $353.31 / $526.32	Professional		$332.11	$353.31	$526.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $595.14	Professional		$32.34	$32.34	$595.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.02 / $485.09 / $851.62	Professional		$350.02	$485.09	$851.62