Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.45 / $1,471.00 / $5,665.00	Facility		$313.45	$1,471.00	$5,665.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.20 / $300.08 / $603.04	Professional		$196.20	$300.08	$603.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,987.95 / $4,314.76 / $6,506.50	Facility		$1,987.95	$4,314.76	$6,506.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.64 / $397.00 / $544.96	Professional		$278.64	$397.00	$544.96
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 $242.12 / $391.18 / $597.47	Professional		$242.12	$391.18	$597.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.38 / $477.97 / $1,059.20	Professional		$302.38	$477.97	$1,059.20
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 $258.02 / $288.13 / $443.83	Professional		$258.02	$288.13	$443.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $512.12	Professional		$32.34	$32.34	$512.12
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.82 / $456.20 / $731.64	Professional		$315.82	$456.20	$731.64