Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.09 / $1,062.68 / $4,634.00	Facility		$477.09	$1,062.68	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.85 / $433.94 / $702.36	Professional		$294.85	$433.94	$702.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,316.12 / $4,225.80 / $6,287.99	Facility		$1,316.12	$4,225.80	$6,287.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.17 / $529.62 / $780.34	Professional		$364.17	$529.62	$780.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $587.00 / $908.00	Facility		$400.00	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.18 / $499.28 / $812.70	Professional		$304.18	$499.28	$812.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $347.55 / $651.66 / $1,644.37	Professional		$347.55	$651.66	$1,644.37
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 $371.96 / $389.52 / $629.29	Professional		$371.96	$389.52	$629.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $711.58	Professional		$32.34	$32.34	$711.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.77 / $542.44 / $994.50	Professional		$391.77	$542.44	$994.50