Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.10 / $1,094.00 / $4,634.00	Facility		$401.10	$1,094.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.40 / $356.50 / $604.47	Professional		$221.40	$356.50	$604.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,775.73 / $2,709.00 / $5,561.61	Facility		$1,775.73	$2,709.00	$5,561.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.22 / $495.28 / $791.90	Professional		$288.22	$495.28	$791.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $532.47 / $594.44 / $908.00	Facility		$532.47	$594.44	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.22 / $418.74 / $728.30	Professional		$257.22	$418.74	$728.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $334.52 / $603.60 / $1,017.44	Professional		$334.52	$603.60	$1,017.44
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 $297.77 / $306.72 / $540.57	Professional		$297.77	$306.72	$540.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $611.26	Professional		$32.34	$32.34	$611.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.83 / $466.22 / $828.84	Professional		$353.83	$466.22	$828.84