Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.72 / $1,169.00 / $5,091.00	Facility		$421.72	$1,169.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.19 / $425.54 / $754.42	Professional		$346.19	$425.54	$754.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,170.25 / $9,051.35 / $15,712.23	Facility		$4,170.25	$9,051.35	$15,712.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $723.92 / $723.92 / $880.88	Professional		$723.92	$723.92	$880.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.60 / $575.35 / $870.63	Professional		$374.60	$575.35	$870.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $433.33 / $648.96 / $1,619.02	Professional		$433.33	$648.96	$1,619.02
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 $403.38 / $433.33 / $575.35	Professional		$403.38	$433.33	$575.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $663.87	Professional		$32.34	$32.34	$663.87
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,975.00 / $7,295.00	Facility		$930.00	$3,975.00	$7,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.62 / $626.51 / $938.78	Professional		$443.62	$626.51	$938.78