Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.38 / $1,486.00 / $5,091.00	Facility		$473.38	$1,486.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.93 / $421.80 / $819.07	Professional		$246.93	$421.80	$819.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $2,770.96 / $6,043.82	Facility		$549.75	$2,770.96	$6,043.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.87 / $525.54 / $838.37	Professional		$363.87	$525.54	$838.37
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 $306.49 / $497.69 / $838.41	Professional		$306.49	$497.69	$838.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $348.79 / $676.98 / $1,480.34	Professional		$348.79	$676.98	$1,480.34
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 $352.35 / $381.42 / $676.98	Professional		$352.35	$381.42	$676.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $765.50	Professional		$32.34	$32.34	$765.50
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.75 / $592.58 / $1,023.71	Professional		$405.75	$592.58	$1,023.71