Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.05 / $2,157.00 / $5,405.00	Facility		$405.05	$2,157.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.66 / $243.14 / $405.05	Professional		$211.66	$243.14	$405.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,632.96 / $4,166.89 / $6,125.07	Facility		$2,632.96	$4,166.89	$6,125.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.31 / $413.43 / $424.34	Professional		$225.31	$413.43	$424.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.37 / $303.43 / $485.82	Professional		$204.37	$303.43	$485.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $202.53 / $317.42 / $1,203.65	Professional		$202.53	$317.42	$1,203.65
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 $229.31 / $239.36 / $255.10	Professional		$229.31	$239.36	$255.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $288.45	Professional		$32.34	$32.34	$288.45
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 $220.51 / $320.64 / $530.54	Professional		$220.51	$320.64	$530.54