Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.05 / $1,020.00 / $4,961.00	Facility		$424.05	$1,020.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.96 / $513.75 / $814.78	Professional		$247.96	$513.75	$814.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,813.52 / $3,471.88 / $6,948.61	Facility		$1,813.52	$3,471.88	$6,948.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.77 / $569.97 / $1,131.49	Professional		$300.77	$569.97	$1,131.49
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 $267.74 / $496.31 / $897.94	Professional		$267.74	$496.31	$897.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $342.44 / $710.32 / $1,681.88	Professional		$342.44	$710.32	$1,681.88
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 $290.60 / $312.20 / $684.01	Professional		$290.60	$312.20	$684.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $789.24	Professional		$32.34	$32.34	$789.24
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.45 / $778.88 / $1,318.81	Professional		$522.45	$778.88	$1,318.81