Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.54 / $1,892.00 / $7,133.41	Facility		$699.54	$1,892.00	$7,133.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.55 / $426.49 / $729.06	Professional		$371.55	$426.49	$729.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,580.11 / $5,243.01 / $9,885.83	Facility		$2,580.11	$5,243.01	$9,885.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.44 / $702.74 / $774.66	Professional		$471.44	$702.74	$774.66
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 $404.62 / $536.11 / $780.89	Professional		$404.62	$536.11	$780.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $400.98 / $637.92 / $1,588.01	Professional		$400.98	$637.92	$1,588.01
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 $448.50 / $473.89 / $516.26	Professional		$448.50	$473.89	$516.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $595.67	Professional		$32.34	$32.34	$595.67
United Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $2,435.00 / $5,026.00	Facility		$897.00	$2,435.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.22 / $556.27 / $831.78	Professional		$396.22	$556.27	$831.78