Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.39 / $1,630.00 / $5,405.00	Facility		$478.39	$1,630.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.07 / $452.35 / $782.69	Professional		$309.07	$452.35	$782.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,942.31 / $3,467.09 / $8,065.49	Facility		$1,942.31	$3,467.09	$8,065.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.11 / $611.50 / $940.40	Professional		$414.11	$611.50	$940.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.83 / $586.41 / $864.63	Professional		$373.83	$586.41	$864.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $429.38 / $704.46 / $1,534.87	Professional		$429.38	$704.46	$1,534.87
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 $392.96 / $429.38 / $652.26	Professional		$392.96	$429.38	$652.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $752.61	Professional		$32.34	$32.34	$752.61
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,588.00 / $5,026.00	Facility		$749.00	$2,588.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.38 / $620.25 / $1,171.14	Professional		$462.38	$620.25	$1,171.14