Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.35 / $1,731.00 / $5,389.00	Facility		$415.35	$1,731.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.49 / $280.94 / $504.21	Professional		$192.49	$280.94	$504.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,197.71 / $4,804.18 / $6,725.86	Facility		$2,197.71	$4,804.18	$6,725.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.31 / $431.50 / $467.22	Professional		$299.31	$431.50	$467.22
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 $268.02 / $363.48 / $556.08	Professional		$268.02	$363.48	$556.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $289.75 / $422.56 / $1,721.92	Professional		$289.75	$422.56	$1,721.92
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 $290.93 / $313.89 / $343.98	Professional		$290.93	$313.89	$343.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $396.90	Professional		$32.34	$32.34	$396.90
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.75 / $372.58 / $582.04	Professional		$263.75	$372.58	$582.04