Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.57 / $1,146.00 / $5,389.00	Facility		$245.57	$1,146.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.67 / $327.90 / $584.05	Professional		$233.67	$327.90	$584.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,578.04 / $3,887.73 / $5,726.71	Facility		$1,578.04	$3,887.73	$5,726.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.91 / $378.55 / $562.36	Professional		$277.91	$378.55	$562.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $643.00 / $2,713.32	Facility		$400.00	$643.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.01 / $384.03 / $642.76	Professional		$254.01	$384.03	$642.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $304.45 / $479.03 / $937.12	Professional		$304.45	$479.03	$937.12
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 $292.89 / $300.39 / $449.80	Professional		$292.89	$300.39	$449.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $508.62	Professional		$32.34	$32.34	$508.62
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.81 / $431.71 / $731.40	Professional		$315.81	$431.71	$731.40