Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.49 / $1,972.00 / $5,393.00	Facility		$689.49	$1,972.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.72 / $465.09 / $864.73	Professional		$396.72	$465.09	$864.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.29 / $5,194.50 / $11,329.87	Facility		$842.29	$5,194.50	$11,329.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.74 / $805.79 / $979.34	Professional		$582.74	$805.79	$979.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $638.79 / $709.00 / $735.00	Facility		$638.79	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.93 / $654.84 / $943.98	Professional		$461.93	$654.84	$943.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $539.51 / $789.79 / $2,142.40	Professional		$539.51	$789.79	$2,142.40
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 $570.88 / $606.50 / $676.33	Professional		$570.88	$606.50	$676.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $764.77	Professional		$32.34	$32.34	$764.77
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.21 / $583.54 / $1,030.56	Professional		$427.21	$583.54	$1,030.56