Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.31 / $1,603.00 / $5,389.00	Facility		$473.31	$1,603.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.38 / $399.58 / $673.11	Professional		$250.38	$399.58	$673.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,089.72 / $4,105.72 / $5,877.89	Facility		$1,089.72	$4,105.72	$5,877.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.12 / $457.61 / $715.12	Professional		$307.12	$457.61	$715.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.22 / $566.46 / $785.00	Facility		$446.22	$566.46	$785.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.79 / $441.93 / $770.86	Professional		$282.79	$441.93	$770.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $342.34 / $597.21 / $1,201.04	Professional		$342.34	$597.21	$1,201.04
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 $316.95 / $331.20 / $573.99	Professional		$316.95	$331.20	$573.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $649.04	Professional		$32.34	$32.34	$649.04
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 $366.70 / $509.80 / $873.79	Professional		$366.70	$509.80	$873.79