Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.86 / $1,568.00 / $5,389.00	Facility		$471.86	$1,568.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.88 / $449.89 / $709.66	Professional		$275.88	$449.89	$709.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,017.73 / $3,760.31 / $7,731.03	Facility		$2,017.73	$3,760.31	$7,731.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.94 / $627.73 / $1,003.71	Professional		$330.94	$627.73	$1,003.71
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 $293.58 / $487.87 / $794.89	Professional		$293.58	$487.87	$794.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $352.00 / $655.50 / $1,741.57	Professional		$352.00	$655.50	$1,741.57
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 $320.39 / $343.84 / $604.03	Professional		$320.39	$343.84	$604.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $696.96	Professional		$32.34	$32.34	$696.96
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 $468.35 / $627.89 / $1,175.08	Professional		$468.35	$627.89	$1,175.08