Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.99 / $1,933.00 / $5,389.00	Facility		$509.99	$1,933.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.39 / $334.38 / $576.55	Professional		$293.39	$334.38	$576.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,259.12 / $4,757.70 / $7,890.95	Facility		$2,259.12	$4,757.70	$7,890.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.03 / $557.53 / $615.41	Professional		$374.03	$557.53	$615.41
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 $317.06 / $425.34 / $619.38	Professional		$317.06	$425.34	$619.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $504.10 / $1,542.86	Professional		$345.40	$504.10	$1,542.86
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 $354.61 / $376.47 / $409.58	Professional		$354.61	$376.47	$409.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $472.59	Professional		$32.34	$32.34	$472.59
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 $316.68 / $433.22 / $669.97	Professional		$316.68	$433.22	$669.97