Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.28 / $1,078.00 / $4,500.00	Facility		$387.28	$1,078.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.42 / $342.96 / $601.73	Professional		$219.42	$342.96	$601.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,197.71 / $4,464.60 / $6,610.56	Facility		$2,197.71	$4,464.60	$6,610.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.10 / $431.32 / $625.40	Professional		$277.10	$431.32	$625.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.45 / $400.29 / $625.58	Professional		$274.45	$400.29	$625.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.29 / $495.10 / $1,437.85	Professional		$309.29	$495.10	$1,437.85
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 $267.38 / $289.77 / $464.71	Professional		$267.38	$289.77	$464.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $536.21	Professional		$32.34	$32.34	$536.21
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 $349.35 / $511.56 / $783.04	Professional		$349.35	$511.56	$783.04