Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.16 / $1,451.00 / $5,389.00	Facility		$528.16	$1,451.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.94 / $387.28 / $621.36	Professional		$322.94	$387.28	$621.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,666.53 / $4,817.97 / $7,048.65	Facility		$2,666.53	$4,817.97	$7,048.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.93 / $463.21 / $538.34	Professional		$390.93	$463.21	$538.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.07 / $479.56 / $750.00	Professional		$322.07	$479.56	$750.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.74 / $497.09 / $1,266.63	Professional		$338.74	$497.09	$1,266.63
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 $366.38 / $403.88 / $453.71	Professional		$366.38	$403.88	$453.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $513.04	Professional		$32.34	$32.34	$513.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.58 / $420.37 / $778.00	Professional		$318.58	$420.37	$778.00