Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.02 / $1,512.27 / $5,389.00	Facility		$528.02	$1,512.27	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.81 / $496.46 / $867.94	Professional		$339.81	$496.46	$867.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.72 / $3,343.53 / $7,292.68	Facility		$700.72	$3,343.53	$7,292.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.11 / $593.37 / $876.06	Professional		$426.11	$593.37	$876.06
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 $386.09 / $562.30 / $878.44	Professional		$386.09	$562.30	$878.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $428.41 / $728.10 / $2,004.91	Professional		$428.41	$728.10	$2,004.91
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 $434.03 / $456.89 / $705.04	Professional		$434.03	$456.89	$705.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $813.51	Professional		$32.34	$32.34	$813.51
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $472.27 / $651.42 / $1,072.17	Professional		$472.27	$651.42	$1,072.17