Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.38 / $1,278.00 / $5,549.00	Facility		$410.38	$1,278.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.07 / $288.41 / $473.99	Professional		$223.07	$288.41	$473.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,573.26 / $3,365.28 / $6,738.97	Facility		$1,573.26	$3,365.28	$6,738.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.39 / $441.71 / $467.10	Professional		$306.39	$441.71	$467.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.64 / $379.31 / $638.40	Professional		$268.64	$379.31	$638.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.74 / $422.45 / $1,077.53	Professional		$275.74	$422.45	$1,077.53
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 $265.52 / $313.82 / $352.12	Professional		$265.52	$313.82	$352.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $406.29	Professional		$32.34	$32.34	$406.29
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.77 / $345.18 / $593.40	Professional		$266.77	$345.18	$593.40