Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.50 / $1,129.00 / $5,091.00	Facility		$407.50	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.10 / $383.37 / $762.59	Professional		$307.10	$383.37	$762.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.29 / $3,193.02 / $6,964.38	Facility		$842.29	$3,193.02	$6,964.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $519.29 / $755.88	Professional		$421.82	$519.29	$755.88
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 $370.51 / $587.48 / $819.43	Professional		$370.51	$587.48	$819.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $412.40 / $675.18 / $1,727.82	Professional		$412.40	$675.18	$1,727.82
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 $434.95 / $447.73 / $602.71	Professional		$434.95	$447.73	$602.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $681.52	Professional		$32.34	$32.34	$681.52
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,035.00 / $3,685.00	Facility		$165.00	$1,035.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.30 / $596.78 / $975.47	Professional		$410.30	$596.78	$975.47