Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $1,017.00 / $5,430.00	Facility		$408.71	$1,017.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.64 / $384.03 / $717.26	Professional		$295.64	$384.03	$717.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $3,138.09 / $6,844.58	Facility		$549.75	$3,138.09	$6,844.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.53 / $519.94 / $755.76	Professional		$416.53	$519.94	$755.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.51 / $506.30 / $814.31	Professional		$332.51	$506.30	$814.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $390.46 / $632.88 / $1,358.68	Professional		$390.46	$632.88	$1,358.68
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 $431.56 / $441.49 / $603.45	Professional		$431.56	$441.49	$603.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $696.29	Professional		$32.34	$32.34	$696.29
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 $414.40 / $594.76 / $1,024.31	Professional		$414.40	$594.76	$1,024.31