Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.10 / $1,272.00 / $5,389.00	Facility		$449.10	$1,272.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $475.56 / $922.42	Professional		$281.58	$475.56	$922.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.29 / $3,011.62 / $6,568.72	Facility		$842.29	$3,011.62	$6,568.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.74 / $574.62 / $826.14	Professional		$391.74	$574.62	$826.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.49 / $556.50 / $891.92	Professional		$371.49	$556.50	$891.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $386.45 / $686.05 / $1,659.14	Professional		$386.45	$686.05	$1,659.14
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 $396.44 / $417.03 / $659.41	Professional		$396.44	$417.03	$659.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $745.64	Professional		$32.34	$32.34	$745.64
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 $463.63 / $644.27 / $1,095.35	Professional		$463.63	$644.27	$1,095.35