Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,862.09 / $5,888.44	Facility		$616.60	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $954.99	Professional		$346.74	$512.86	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $7,585.78 / $10,232.93	Facility		$851.14	$7,585.78	$10,232.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $891.25	Professional		$426.58	$602.56	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $645.65	Facility		$398.11	$588.84	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $954.99	Professional		$338.84	$537.03	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $794.33 / $1,380.38	Professional		$389.05	$794.33	$1,380.38
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 $436.52 / $457.09 / $707.95	Professional		$436.52	$457.09	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,168.69 / $7,585.78	Facility		$1,096.48	$4,168.69	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $870.96	Professional		$338.84	$501.19	$870.96