Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.54 / $1,609.00 / $5,549.00	Facility		$354.54	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.66 / $336.78 / $558.54	Professional		$254.66	$336.78	$558.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,569.15 / $3,356.48 / $6,721.35	Facility		$1,569.15	$3,356.48	$6,721.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.92 / $422.35 / $491.20	Professional		$352.92	$422.35	$491.20
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 $314.64 / $445.52 / $683.97	Professional		$314.64	$445.52	$683.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $311.82 / $479.02 / $1,711.01	Professional		$311.82	$479.02	$1,711.01
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 $311.36 / $368.51 / $413.70	Professional		$311.36	$368.51	$413.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $467.80	Professional		$32.34	$32.34	$467.80
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 $299.18 / $429.58 / $719.83	Professional		$299.18	$429.58	$719.83