Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.86 / $1,229.00 / $4,634.00	Facility		$434.86	$1,229.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.94 / $416.45 / $821.03	Professional		$278.94	$416.45	$821.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,918.54 / $3,193.54 / $6,965.52	Facility		$1,918.54	$3,193.54	$6,965.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.31 / $510.91 / $872.66	Professional		$359.31	$510.91	$872.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.88 / $580.38 / $908.00	Facility		$519.88	$580.38	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.52 / $516.46 / $811.90	Professional		$327.52	$516.46	$811.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $408.02 / $638.57 / $1,193.44	Professional		$408.02	$638.57	$1,193.44
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 $370.73 / $383.59 / $592.96	Professional		$370.73	$383.59	$592.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $670.50	Professional		$32.34	$32.34	$670.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.34 / $565.10 / $958.09	Professional		$418.34	$565.10	$958.09