Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.69 / $1,379.00 / $5,389.00	Facility		$530.69	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.87 / $319.02 / $568.22	Professional		$277.87	$319.02	$568.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,951.56 / $4,143.17 / $7,477.53	Facility		$1,951.56	$4,143.17	$7,477.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.03 / $525.88 / $620.26	Professional		$391.03	$525.88	$620.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.58 / $464.39 / $660.46	Professional		$311.58	$464.39	$660.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $527.16 / $1,064.26	Professional		$345.40	$527.16	$1,064.26
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 $374.66 / $405.82 / $447.19	Professional		$374.66	$405.82	$447.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $515.99	Professional		$32.34	$32.34	$515.99
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 $318.50 / $441.41 / $733.50	Professional		$318.50	$441.41	$733.50