Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.09 / $1,835.00 / $5,389.00	Facility		$501.09	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.63 / $295.95 / $501.09	Professional		$262.63	$295.95	$501.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,259.12 / $4,586.33 / $6,984.29	Facility		$2,259.12	$4,586.33	$6,984.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.04 / $494.95 / $546.21	Professional		$332.04	$494.95	$546.21
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 $285.30 / $385.54 / $551.12	Professional		$285.30	$385.54	$551.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $307.67 / $447.52 / $1,185.36	Professional		$307.67	$447.52	$1,185.36
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 $314.73 / $334.14 / $363.61	Professional		$314.73	$334.14	$363.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $419.55	Professional		$32.34	$32.34	$419.55
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $283.02 / $398.49 / $729.44	Professional		$283.02	$398.49	$729.44