Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.92 / $2,933.00 / $5,666.02	Facility		$571.92	$2,933.00	$5,666.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.18 / $322.52 / $641.16	Professional		$272.18	$322.52	$641.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,968.28 / $3,457.65 / $7,541.59	Facility		$1,968.28	$3,457.65	$7,541.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.54 / $534.49 / $651.92	Professional		$386.54	$534.49	$651.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,631.14 / $1,820.98	Facility		$875.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.24 / $465.86 / $659.21	Professional		$307.24	$465.86	$659.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $362.34 / $543.50 / $1,312.96	Professional		$362.34	$543.50	$1,312.96
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 $386.87 / $403.74 / $448.62	Professional		$386.87	$403.74	$448.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $507.28	Professional		$32.34	$32.34	$507.28
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 $292.39 / $401.57 / $681.94	Professional		$292.39	$401.57	$681.94