Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.80 / $1,585.05 / $5,091.00	Facility		$540.80	$1,585.05	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.75 / $481.45 / $873.97	Professional		$293.75	$481.45	$873.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $3,532.16 / $7,704.09	Facility		$549.75	$3,532.16	$7,704.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.69 / $668.73 / $972.04	Professional		$463.69	$668.73	$972.04
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 $384.01 / $602.36 / $972.30	Professional		$384.01	$602.36	$972.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $428.89 / $786.86 / $1,942.90	Professional		$428.89	$786.86	$1,942.90
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 $452.21 / $485.33 / $785.08	Professional		$452.21	$485.33	$785.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $887.75	Professional		$32.34	$32.34	$887.75
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 $481.66 / $667.26 / $1,209.06	Professional		$481.66	$667.26	$1,209.06