Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.81 / $1,225.00 / $4,634.00	Facility		$495.81	$1,225.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.44 / $462.36 / $835.01	Professional		$403.44	$462.36	$835.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $4,956.93 / $10,811.69	Facility		$330.07	$4,956.93	$10,811.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.96 / $767.39 / $998.88	Professional		$554.96	$767.39	$998.88
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 $467.12 / $668.86 / $996.05	Professional		$467.12	$668.86	$996.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $523.44 / $778.38 / $1,633.55	Professional		$523.44	$778.38	$1,633.55
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 $548.82 / $578.34 / $689.26	Professional		$548.82	$578.34	$689.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $779.39	Professional		$32.34	$32.34	$779.39
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 $449.88 / $609.03 / $1,040.43	Professional		$449.88	$609.03	$1,040.43