Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.64 / $1,378.01 / $5,389.00	Facility		$659.64	$1,378.01	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.93 / $659.65 / $1,146.03	Professional		$447.93	$659.65	$1,146.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.52 / $5,098.12 / $11,119.65	Facility		$319.52	$5,098.12	$11,119.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.74 / $992.65 / $1,366.68	Professional		$571.74	$992.65	$1,366.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.53 / $269.64 / $908.00	Facility		$241.53	$269.64	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.79 / $806.48 / $1,437.12	Professional		$541.79	$806.48	$1,437.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $659.65 / $996.14 / $1,967.95	Professional		$659.65	$996.14	$1,967.95
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 $585.04 / $614.76 / $923.39	Professional		$585.04	$614.76	$923.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,044.14	Professional		$32.34	$32.34	$1,044.14
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 $661.29 / $914.21 / $1,571.50	Professional		$661.29	$914.21	$1,571.50