Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.49 / $2,933.00 / $6,884.91	Facility		$779.49	$2,933.00	$6,884.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.88 / $440.58 / $965.91	Professional		$360.88	$440.58	$965.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,299.87 / $4,855.96 / $8,529.57	Facility		$2,299.87	$4,855.96	$8,529.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.09 / $602.05 / $744.01	Professional		$505.09	$602.05	$744.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $965.00 / $10,962.00	Facility		$579.00	$965.00	$10,962.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.45 / $598.79 / $878.84	Professional		$404.45	$598.79	$878.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $451.57 / $696.63 / $2,654.40	Professional		$451.57	$696.63	$2,654.40
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 $471.85 / $532.71 / $598.79	Professional		$471.85	$532.71	$598.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $677.10	Professional		$32.34	$32.34	$677.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,530.00 / $8,168.00	Facility		$1,172.00	$4,530.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.89 / $554.62 / $971.26	Professional		$395.89	$554.62	$971.26