Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $1,411.00 / $4,961.00	Facility		$513.00	$1,411.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.29 / $403.24 / $741.22	Professional		$261.29	$403.24	$741.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,918.54 / $3,103.03 / $6,532.18	Facility		$1,918.54	$3,103.03	$6,532.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.55 / $492.59 / $841.05	Professional		$336.55	$492.59	$841.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.95 / $572.65 / $908.00	Facility		$512.95	$572.65	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.93 / $489.75 / $771.97	Professional		$313.93	$489.75	$771.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $387.06 / $615.91 / $1,142.73	Professional		$387.06	$615.91	$1,142.73
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 $347.88 / $359.41 / $571.70	Professional		$347.88	$359.41	$571.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $659.66	Professional		$32.34	$32.34	$659.66
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 $402.94 / $534.79 / $924.37	Professional		$402.94	$534.79	$924.37