Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.08 / $1,568.00 / $5,389.00	Facility		$471.08	$1,568.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.47 / $467.30 / $762.05	Professional		$338.47	$467.30	$762.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,335.27 / $4,326.01 / $7,758.83	Facility		$3,335.27	$4,326.01	$7,758.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.61 / $641.16 / $860.95	Professional		$464.61	$641.16	$860.95
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 $402.30 / $566.22 / $886.66	Professional		$402.30	$566.22	$886.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $445.94 / $720.98 / $1,495.32	Professional		$445.94	$720.98	$1,495.32
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 $454.88 / $490.23 / $690.22	Professional		$454.88	$490.23	$690.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $780.48	Professional		$32.34	$32.34	$780.48
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 $446.96 / $633.38 / $1,118.16	Professional		$446.96	$633.38	$1,118.16