Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.77 / $1,568.00 / $5,389.00	Facility		$493.77	$1,568.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.13 / $403.39 / $694.59	Professional		$291.13	$403.39	$694.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,903.11 / $4,293.41 / $6,287.99	Facility		$1,903.11	$4,293.41	$6,287.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.28 / $521.70 / $675.36	Professional		$349.28	$521.70	$675.36
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 $322.22 / $498.02 / $739.07	Professional		$322.22	$498.02	$739.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $382.17 / $581.29 / $1,149.97	Professional		$382.17	$581.29	$1,149.97
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 $365.35 / $377.59 / $539.77	Professional		$365.35	$377.59	$539.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $622.82	Professional		$32.34	$32.34	$622.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,625.00	Facility		$1,282.00	$3,751.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.18 / $564.02 / $994.23	Professional		$408.18	$564.02	$994.23