Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.50 / $1,363.00 / $5,091.00	Facility		$573.50	$1,363.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.61 / $396.06 / $621.38	Professional		$313.61	$396.06	$621.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $601.55 / $4,523.28 / $10,522.51	Facility		$601.55	$4,523.28	$10,522.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.79 / $762.39 / $899.22	Professional		$425.79	$762.39	$899.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $392.68 / $480.00	Facility		$300.00	$392.68	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.07 / $500.63 / $811.68	Professional		$346.07	$500.63	$811.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.09 / $573.50 / $2,379.76	Professional		$371.09	$573.50	$2,379.76
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 $394.36 / $438.56 / $482.09	Professional		$394.36	$438.56	$482.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $545.13	Professional		$32.34	$32.34	$545.13
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,399.00	Facility		$204.00	$891.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.28 / $468.41 / $773.02	Professional		$346.28	$468.41	$773.02