Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.31 / $1,272.00 / $5,430.00	Facility		$473.31	$1,272.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.97 / $263.23 / $473.31	Professional		$222.97	$263.23	$473.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,323.62 / $2,885.28 / $5,777.77	Facility		$1,323.62	$2,885.28	$5,777.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.61 / $358.96 / $447.55	Professional		$299.61	$358.96	$447.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $587.00 / $908.00	Facility		$276.41	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.13 / $370.74 / $549.78	Professional		$250.13	$370.74	$549.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $274.52 / $414.98 / $1,113.06	Professional		$274.52	$414.98	$1,113.06
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 $269.52 / $317.14 / $357.01	Professional		$269.52	$317.14	$357.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $403.69	Professional		$32.34	$32.34	$403.69
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.85 / $343.14 / $564.24	Professional		$248.85	$343.14	$564.24