Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.59 / $1,568.00 / $5,091.00	Facility		$530.59	$1,568.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.38 / $510.85 / $889.96	Professional		$356.38	$510.85	$889.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.05 / $4,563.85 / $7,355.87	Facility		$3,162.05	$4,563.85	$7,355.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.62 / $593.15 / $880.11	Professional		$426.62	$593.15	$880.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.72 / $557.66 / $902.15	Professional		$389.72	$557.66	$902.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $428.92 / $734.99 / $1,490.89	Professional		$428.92	$734.99	$1,490.89
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 $445.82 / $460.58 / $704.78	Professional		$445.82	$460.58	$704.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $813.21	Professional		$32.34	$32.34	$813.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.75 / $634.40 / $1,099.58	Professional		$479.75	$634.40	$1,099.58