Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.28 / $1,379.00 / $5,091.00	Facility		$504.28	$1,379.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.41 / $495.09 / $897.29	Professional		$419.41	$495.09	$897.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $5,406.32 / $11,791.87	Facility		$330.07	$5,406.32	$11,791.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $606.86 / $839.14 / $1,020.49	Professional		$606.86	$839.14	$1,020.49
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 $470.08 / $715.15 / $1,029.39	Professional		$470.08	$715.15	$1,029.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $547.32 / $828.92 / $2,040.98	Professional		$547.32	$828.92	$2,040.98
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 $592.92 / $632.00 / $704.31	Professional		$592.92	$632.00	$704.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $796.42	Professional		$32.34	$32.34	$796.42
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 $454.10 / $621.91 / $1,071.69	Professional		$454.10	$621.91	$1,071.69