Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.85 / $1,696.00 / $5,389.00	Facility		$698.85	$1,696.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.74 / $444.12 / $838.52	Professional		$402.74	$444.12	$838.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,853.91 / $6,809.22 / $9,748.33	Facility		$2,853.91	$6,809.22	$9,748.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.45 / $598.91 / $746.39	Professional		$502.45	$598.91	$746.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $480.00 / $5,855.98	Facility		$300.00	$480.00	$5,855.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.83 / $618.58 / $957.19	Professional		$427.83	$618.58	$957.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $454.25 / $719.41 / $1,795.82	Professional		$454.25	$719.41	$1,795.82
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 $473.68 / $534.41 / $595.66	Professional		$473.68	$534.41	$595.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $673.57	Professional		$32.34	$32.34	$673.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,253.00 / $14,468.00	Facility		$2,600.00	$7,253.00	$14,468.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.80 / $604.54 / $997.92	Professional		$428.80	$604.54	$997.92