Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.59 / $1,225.00 / $4,634.00	Facility		$531.59	$1,225.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.72 / $498.78 / $895.21	Professional		$415.72	$498.78	$895.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $5,347.32 / $11,663.18	Facility		$330.07	$5,347.32	$11,663.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.12 / $829.83 / $1,073.82	Professional		$600.12	$829.83	$1,073.82
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 $502.87 / $723.29 / $1,058.57	Professional		$502.87	$723.29	$1,058.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.71 / $841.02 / $2,016.42	Professional		$562.71	$841.02	$2,016.42
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 $589.91 / $624.75 / $741.68	Professional		$589.91	$624.75	$741.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $838.66	Professional		$32.34	$32.34	$838.66
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 $478.76 / $641.52 / $1,121.47	Professional		$478.76	$641.52	$1,121.47