Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.70 / $1,972.00 / $7,102.77	Facility		$449.70	$1,972.00	$7,102.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.45 / $285.69 / $525.53	Professional		$263.45	$285.69	$525.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,932.19 / $3,672.90 / $7,403.30	Facility		$1,932.19	$3,672.90	$7,403.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.89 / $512.86 / $604.92	Professional		$318.89	$512.86	$604.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.92 / $387.39 / $551.00	Professional		$282.92	$387.39	$551.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $304.14 / $442.38 / $1,379.97	Professional		$304.14	$442.38	$1,379.97
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 $309.13 / $331.34 / $359.44	Professional		$309.13	$331.34	$359.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $414.74	Professional		$32.34	$32.34	$414.74
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 $280.95 / $399.32 / $715.31	Professional		$280.95	$399.32	$715.31