Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.07 / $1,225.00 / $4,634.00	Facility		$477.07	$1,225.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.09 / $439.87 / $835.01	Professional		$367.09	$439.87	$835.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.73 / $4,660.35 / $10,164.84	Facility		$2,118.73	$4,660.35	$10,164.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.91 / $725.84 / $966.54	Professional		$524.91	$725.84	$966.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,631.14 / $1,820.98	Facility		$463.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.73 / $632.65 / $914.82	Professional		$401.73	$632.65	$914.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $476.98 / $735.56 / $1,503.42	Professional		$476.98	$735.56	$1,503.42
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 $519.62 / $546.41 / $667.73	Professional		$519.62	$546.41	$667.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $755.05	Professional		$32.34	$32.34	$755.05
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 $427.37 / $571.70 / $1,003.80	Professional		$427.37	$571.70	$1,003.80