Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.61 / $1,568.00 / $5,091.00	Facility		$472.61	$1,568.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $443.78 / $748.81	Professional		$277.02	$443.78	$748.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.29 / $2,998.21 / $6,539.49	Facility		$842.29	$2,998.21	$6,539.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.34 / $561.21 / $846.02	Professional		$470.34	$561.21	$846.02
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 $318.55 / $517.65 / $854.15	Professional		$318.55	$517.65	$854.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.17 / $689.69 / $1,651.91	Professional		$363.17	$689.69	$1,651.91
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 $366.76 / $407.30 / $689.69	Professional		$366.76	$407.30	$689.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $779.88	Professional		$32.34	$32.34	$779.88
United Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,905.00 / $4,342.00	Facility		$711.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.82 / $591.54 / $1,048.07	Professional		$418.82	$591.54	$1,048.07