Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.56 / $1,207.00 / $5,091.00	Facility		$509.56	$1,207.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.34 / $509.56 / $844.86	Professional		$421.34	$509.56	$844.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,929.65 / $5,280.72 / $11,225.11	Facility		$2,929.65	$5,280.72	$11,225.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.02 / $880.02 / $939.58	Professional		$880.02	$880.02	$939.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.92 / $651.70 / $917.21	Professional		$476.92	$651.70	$917.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $486.34 / $738.59 / $1,562.72	Professional		$486.34	$738.59	$1,562.72
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 $511.46 / $538.33 / $627.55	Professional		$511.46	$538.33	$627.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $724.11	Professional		$32.34	$32.34	$724.11
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 $478.20 / $682.60 / $1,176.61	Professional		$478.20	$682.60	$1,176.61