Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.55 / $1,289.00 / $5,091.00	Facility		$560.55	$1,289.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.62 / $353.00 / $615.59	Professional		$307.62	$353.00	$615.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,436.47 / $3,279.74 / $6,834.11	Facility		$1,436.47	$3,279.74	$6,834.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.41 / $484.52 / $604.91	Professional		$404.41	$484.52	$604.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $875.00 / $1,909.00	Facility		$300.00	$875.00	$1,909.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.97 / $483.01 / $700.78	Professional		$313.97	$483.01	$700.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $364.36 / $574.54 / $1,472.61	Professional		$364.36	$574.54	$1,472.61
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 $388.66 / $428.66 / $481.88	Professional		$388.66	$428.66	$481.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $544.90	Professional		$32.34	$32.34	$544.90
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 $315.83 / $434.42 / $742.16	Professional		$315.83	$434.42	$742.16