Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.83 / $1,146.00 / $5,430.00	Facility		$444.83	$1,146.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.38 / $441.04 / $690.68	Professional		$287.38	$441.04	$690.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,259.12 / $4,853.62 / $8,053.31	Facility		$2,259.12	$4,853.62	$8,053.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.66 / $655.98 / $941.63	Professional		$345.66	$655.98	$941.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.83 / $500.51 / $760.75	Professional		$320.83	$500.51	$760.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $344.66 / $607.03 / $1,272.40	Professional		$344.66	$607.03	$1,272.40
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 $335.19 / $359.31 / $565.12	Professional		$335.19	$359.31	$565.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $652.07	Professional		$32.34	$32.34	$652.07
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.09 / $577.53 / $904.34	Professional		$409.09	$577.53	$904.34