Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.37 / $1,379.00 / $5,389.00	Facility		$595.37	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.23 / $402.57 / $673.22	Professional		$356.23	$402.57	$673.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,479.42 / $5,213.14 / $9,500.07	Facility		$2,479.42	$5,213.14	$9,500.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.73 / $676.35 / $744.26	Professional		$453.73	$676.35	$744.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.46 / $515.98 / $747.96	Professional		$351.46	$515.98	$747.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $385.24 / $611.54 / $1,584.25	Professional		$385.24	$611.54	$1,584.25
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 $432.39 / $455.29 / $496.87	Professional		$432.39	$455.29	$496.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $573.32	Professional		$32.34	$32.34	$573.32
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 $372.81 / $537.26 / $931.85	Professional		$372.81	$537.26	$931.85