Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.49 / $1,300.25 / $4,634.00	Facility		$461.49	$1,300.25	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.59 / $461.49 / $824.47	Professional		$381.59	$461.49	$824.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $4,947.53 / $10,791.20	Facility		$330.07	$4,947.53	$10,791.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.12 / $768.99 / $934.46	Professional		$556.12	$768.99	$934.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $280.07 / $480.00	Facility		$250.87	$280.07	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.63 / $645.42 / $903.65	Professional		$411.63	$645.42	$903.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $491.90 / $756.77 / $1,474.14	Professional		$491.90	$756.77	$1,474.14
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 $548.51 / $578.71 / $645.44	Professional		$548.51	$578.71	$645.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $729.84	Professional		$32.34	$32.34	$729.84
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 $384.27 / $517.49 / $902.81	Professional		$384.27	$517.49	$902.81