Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.42 / $5,140.00 / $9,487.20	Facility		$533.42	$5,140.00	$9,487.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.95 / $388.63 / $1,336.00	Professional		$272.95	$388.63	$1,336.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,921.02 / $5,476.35 / $9,928.21	Facility		$1,921.02	$5,476.35	$9,928.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $407.32 / $509.25	Professional		$330.00	$407.32	$509.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.64 / $709.00 / $5,676.58	Facility		$331.64	$709.00	$5,676.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.30 / $413.26 / $624.69	Professional		$293.30	$413.26	$624.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.78 / $481.98 / $1,485.12	Professional		$331.78	$481.98	$1,485.12
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 $349.32 / $368.58 / $405.11	Professional		$349.32	$368.58	$405.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $458.08	Professional		$32.34	$32.34	$458.08
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 $285.19 / $405.88 / $642.99	Professional		$285.19	$405.88	$642.99