Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,289.00 / $5,389.00	Facility		$463.00	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.73 / $343.40 / $559.41	Professional		$269.73	$343.40	$559.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,775.73 / $3,085.35 / $7,177.46	Facility		$1,775.73	$3,085.35	$7,177.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.35 / $519.49 / $565.49	Professional		$360.35	$519.49	$565.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.12 / $430.05 / $582.71	Professional		$287.12	$430.05	$582.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $318.56 / $485.73 / $1,197.06	Professional		$318.56	$485.73	$1,197.06
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 $363.78 / $374.52 / $414.13	Professional		$363.78	$374.52	$414.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $477.84	Professional		$32.34	$32.34	$477.84
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.17 / $429.90 / $738.23	Professional		$284.17	$429.90	$738.23