Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.34 / $1,363.00 / $5,091.00	Facility		$626.34	$1,363.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.55 / $341.15 / $626.34	Professional		$312.55	$341.15	$626.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,512.58 / $2,733.09 / $6,604.78	Facility		$1,512.58	$2,733.09	$6,604.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.24 / $462.64 / $579.49	Professional		$387.24	$462.64	$579.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $480.00 / $2,156.53	Facility		$300.00	$480.00	$2,156.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.17 / $477.82 / $733.22	Professional		$335.17	$477.82	$733.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $356.50 / $548.45 / $1,535.37	Professional		$356.50	$548.45	$1,535.37
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 $392.93 / $419.41 / $460.12	Professional		$392.93	$419.41	$460.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $520.29	Professional		$32.34	$32.34	$520.29
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $328.35 / $456.46 / $746.13	Professional		$328.35	$456.46	$746.13