Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.23 / $1,842.00 / $5,393.00	Facility		$494.23	$1,842.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.52 / $359.87 / $570.85	Professional		$243.52	$359.87	$570.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,168.19 / $4,429.37 / $7,848.82	Facility		$2,168.19	$4,429.37	$7,848.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.73 / $583.01 / $770.55	Professional		$317.73	$583.01	$770.55
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 $296.22 / $466.30 / $670.44	Professional		$296.22	$466.30	$670.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $326.20 / $505.61 / $1,241.46	Professional		$326.20	$505.61	$1,241.46
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 $283.92 / $320.91 / $475.45	Professional		$283.92	$320.91	$475.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $497.39	Professional		$32.34	$32.34	$497.39
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 $368.11 / $523.44 / $885.67	Professional		$368.11	$523.44	$885.67