Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.57 / $1,568.00 / $5,091.00	Facility		$494.57	$1,568.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.88 / $474.86 / $825.49	Professional		$338.88	$474.86	$825.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,000.96 / $4,563.85 / $6,981.14	Facility		$3,000.96	$4,563.85	$6,981.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.36 / $561.64 / $822.07	Professional		$405.36	$561.64	$822.07
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 $374.42 / $547.85 / $845.67	Professional		$374.42	$547.85	$845.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $409.40 / $686.52 / $1,392.20	Professional		$409.40	$686.52	$1,392.20
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 $419.12 / $438.52 / $657.16	Professional		$419.12	$438.52	$657.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $758.27	Professional		$32.34	$32.34	$758.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,951.00 / $6,625.00	Facility		$1,600.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.43 / $619.78 / $1,053.68	Professional		$457.43	$619.78	$1,053.68