Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.75 / $2,989.00 / $5,549.00	Facility		$381.75	$2,989.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.62 / $381.75 / $1,253.14	Professional		$290.62	$381.75	$1,253.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.59 / $652.59 / $893.02	Professional		$652.59	$652.59	$893.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $587.00 / $908.00	Facility		$400.00	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.05 / $588.79 / $828.67	Professional		$372.05	$588.79	$828.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.91 / $895.29 / $3,999.01	Professional		$575.91	$895.29	$3,999.01
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 $643.79 / $680.63 / $744.19	Professional		$643.79	$680.63	$744.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
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 $342.85 / $590.97 / $1,087.77	Professional		$342.85	$590.97	$1,087.77