Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.52 / $1,609.00 / $5,549.00	Facility		$286.52	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.74 / $286.52 / $458.98	Professional		$240.74	$286.52	$458.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,268.15 / $2,712.64 / $5,432.06	Facility		$1,268.15	$2,712.64	$5,432.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.58 / $341.76 / $427.84	Professional		$285.58	$341.76	$427.84
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 $255.77 / $360.51 / $540.25	Professional		$255.77	$360.51	$540.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $253.46 / $393.99 / $1,147.67	Professional		$253.46	$393.99	$1,147.67
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 $256.63 / $299.55 / $334.76	Professional		$256.63	$299.55	$334.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $378.54	Professional		$32.34	$32.34	$378.54
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 $245.05 / $353.61 / $589.59	Professional		$245.05	$353.61	$589.59