Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.21 / $1,568.00 / $5,091.00	Facility		$513.21	$1,568.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.43 / $487.31 / $851.63	Professional		$348.43	$487.31	$851.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,097.80 / $4,563.85 / $7,206.41	Facility		$3,097.80	$4,563.85	$7,206.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.64 / $622.46 / $849.77	Professional		$417.64	$622.46	$849.77
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 $381.20 / $566.00 / $874.54	Professional		$381.20	$566.00	$874.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $420.98 / $709.65 / $1,525.63	Professional		$420.98	$709.65	$1,525.63
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 $429.42 / $450.52 / $680.78	Professional		$429.42	$450.52	$680.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $785.52	Professional		$32.34	$32.34	$785.52
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 $470.77 / $656.62 / $1,080.83	Professional		$470.77	$656.62	$1,080.83