Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.87 / $2,758.00 / $5,580.00	Facility		$454.87	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.68 / $246.11 / $458.10	Professional		$239.68	$246.11	$458.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,259.12 / $4,566.00 / $6,716.75	Facility		$2,259.12	$4,566.00	$6,716.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.58 / $547.58 / $547.58	Professional		$547.58	$547.58	$547.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.10 / $339.97 / $498.62	Professional		$256.10	$339.97	$498.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.36 / $394.53 / $1,035.88	Professional		$275.36	$394.53	$1,035.88
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 $280.02 / $299.94 / $325.43	Professional		$280.02	$299.94	$325.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $375.50	Professional		$32.34	$32.34	$375.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $3,581.00 / $6,514.00	Facility		$1,165.00	$3,581.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.49 / $346.02 / $538.22	Professional		$256.49	$346.02	$538.22