Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.13 / $1,731.00 / $5,091.00	Facility		$698.13	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.36 / $398.84 / $698.13	Professional		$346.36	$398.84	$698.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,907.91 / $4,000.08 / $7,721.47	Facility		$1,907.91	$4,000.08	$7,721.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.12 / $546.47 / $682.57	Professional		$456.12	$546.47	$682.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $643.00 / $2,720.17	Facility		$400.00	$643.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.90 / $543.27 / $791.14	Professional		$364.90	$543.27	$791.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $402.28 / $627.12 / $1,633.33	Professional		$402.28	$627.12	$1,633.33
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 $435.81 / $483.69 / $543.50	Professional		$435.81	$483.69	$543.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $614.58	Professional		$32.34	$32.34	$614.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,296.00	Facility		$1,282.00	$3,751.00	$6,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.26 / $488.24 / $843.51	Professional		$356.26	$488.24	$843.51