Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.83 / $2,888.57 / $8,643.79	Facility		$370.83	$2,888.57	$8,643.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.72 / $424.19 / $847.02	Professional		$229.72	$424.19	$847.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,532.01 / $3,113.18 / $5,869.99	Facility		$1,532.01	$3,113.18	$5,869.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.80 / $463.16 / $683.31	Professional		$287.80	$463.16	$683.31
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 $255.59 / $424.26 / $613.62	Professional		$255.59	$424.26	$613.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $310.62 / $488.98 / $1,407.69	Professional		$310.62	$488.98	$1,407.69
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 $276.86 / $288.43 / $445.08	Professional		$276.86	$288.43	$445.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $513.55	Professional		$32.34	$32.34	$513.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,625.00	Facility		$1,282.00	$3,751.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.64 / $584.36 / $924.59	Professional		$375.64	$584.36	$924.59