Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.11 / $813.00 / $5,389.00	Facility		$451.11	$813.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.55 / $431.76 / $676.04	Professional		$282.55	$431.76	$676.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,261.92 / $4,225.80 / $6,088.67	Facility		$1,261.92	$4,225.80	$6,088.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.28 / $533.76 / $808.12	Professional		$525.28	$533.76	$808.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $591.69 / $908.00	Facility		$400.00	$591.69	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.20 / $494.32 / $812.22	Professional		$291.20	$494.32	$812.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $348.89 / $656.59 / $1,436.08	Professional		$348.89	$656.59	$1,436.08
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 $366.83 / $380.17 / $632.27	Professional		$366.83	$380.17	$632.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $714.95	Professional		$32.34	$32.34	$714.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,820.00 / $12,241.00	Facility		$1,300.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.14 / $553.15 / $972.70	Professional		$370.14	$553.15	$972.70