Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.66 / $1,078.00 / $4,500.00	Facility		$405.66	$1,078.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.55 / $370.66 / $725.40	Professional		$230.55	$370.66	$725.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.29 / $2,615.51 / $5,704.77	Facility		$842.29	$2,615.51	$5,704.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.09 / $496.20 / $735.57	Professional		$345.09	$496.20	$735.57
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 $304.72 / $448.87 / $752.41	Professional		$304.72	$448.87	$752.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.89 / $595.44 / $1,379.00	Professional		$338.89	$595.44	$1,379.00
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 $328.68 / $360.13 / $595.37	Professional		$328.68	$360.13	$595.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $673.23	Professional		$32.34	$32.34	$673.23
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.55 / $534.41 / $934.47	Professional		$378.55	$534.41	$934.47