Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.50 / $1,835.00 / $5,389.00	Facility		$528.50	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.55 / $293.00 / $528.50	Professional		$279.55	$293.00	$528.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,369.02 / $6,420.84 / $9,273.71	Facility		$3,369.02	$6,420.84	$9,273.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.70 / $538.29 / $635.41	Professional		$334.70	$538.29	$635.41
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 $297.17 / $394.24 / $597.35	Professional		$297.17	$394.24	$597.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $319.22 / $459.44 / $1,198.86	Professional		$319.22	$459.44	$1,198.86
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 $324.60 / $348.04 / $377.26	Professional		$324.60	$348.04	$377.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $435.30	Professional		$32.34	$32.34	$435.30
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 $299.20 / $419.47 / $734.66	Professional		$299.20	$419.47	$734.66