Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.97 / $1,620.00 / $5,389.00	Facility		$405.97	$1,620.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.12 / $367.56 / $596.66	Professional		$224.12	$367.56	$596.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,523.64 / $3,876.24 / $5,529.28	Facility		$1,523.64	$3,876.24	$5,529.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.27 / $403.86 / $650.25	Professional		$271.27	$403.86	$650.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.87 / $709.00 / $2,713.32	Facility		$393.87	$709.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.58 / $399.18 / $698.70	Professional		$249.58	$399.18	$698.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $300.55 / $543.03 / $1,119.03	Professional		$300.55	$543.03	$1,119.03
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 $280.45 / $292.31 / $522.35	Professional		$280.45	$292.31	$522.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $546.46	Professional		$32.34	$32.34	$546.46
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 $339.34 / $469.16 / $770.49	Professional		$339.34	$469.16	$770.49