Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.33 / $1,411.00 / $5,091.00	Facility		$558.33	$1,411.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.31 / $490.50 / $795.34	Professional		$328.31	$490.50	$795.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,274.73 / $4,829.26 / $8,715.79	Facility		$2,274.73	$4,829.26	$8,715.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.94 / $631.35 / $891.92	Professional		$437.94	$631.35	$891.92
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 $425.86 / $603.95 / $890.82	Professional		$425.86	$603.95	$890.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $460.94 / $713.87 / $1,561.07	Professional		$460.94	$713.87	$1,561.07
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 $438.88 / $456.95 / $662.88	Professional		$438.88	$456.95	$662.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $764.87	Professional		$32.34	$32.34	$764.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,625.00	Facility		$1,282.00	$3,751.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.12 / $634.12 / $1,073.69	Professional		$457.12	$634.12	$1,073.69