Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.49 / $1,835.00 / $5,389.00	Facility		$655.49	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.01 / $410.16 / $769.42	Professional		$400.01	$410.16	$769.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,925.61 / $5,788.40 / $11,209.64	Facility		$2,925.61	$5,788.40	$11,209.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.93 / $779.90 / $915.12	Professional		$484.93	$779.90	$915.12
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 $416.19 / $567.61 / $823.27	Professional		$416.19	$567.61	$823.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $424.14 / $661.16 / $1,783.82	Professional		$424.14	$661.16	$1,783.82
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 $474.85 / $501.25 / $546.59	Professional		$474.85	$501.25	$546.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $630.67	Professional		$32.34	$32.34	$630.67
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 $420.88 / $580.83 / $881.99	Professional		$420.88	$580.83	$881.99