Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.30 / $1,278.00 / $5,549.00	Facility		$546.30	$1,278.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.89 / $367.57 / $646.25	Professional		$294.89	$367.57	$646.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,005.12 / $4,289.04 / $8,588.79	Facility		$2,005.12	$4,289.04	$8,588.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.03 / $557.97 / $621.83	Professional		$387.03	$557.97	$621.83
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 $356.71 / $479.01 / $723.03	Professional		$356.71	$479.01	$723.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $353.50 / $547.44 / $1,532.09	Professional		$353.50	$547.44	$1,532.09
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 $395.94 / $417.77 / $444.80	Professional		$395.94	$417.77	$444.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $513.23	Professional		$32.34	$32.34	$513.23
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 $358.62 / $481.01 / $785.83	Professional		$358.62	$481.01	$785.83