Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.49 / $1,451.00 / $5,389.00	Facility		$562.49	$1,451.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.43 / $352.50 / $594.72	Professional		$305.43	$352.50	$594.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,284.98 / $4,577.96 / $8,262.24	Facility		$2,284.98	$4,577.96	$8,262.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.40 / $574.79 / $675.24	Professional		$427.40	$574.79	$675.24
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 $261.70 / $507.58 / $683.92	Professional		$261.70	$507.58	$683.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $355.98 / $566.34 / $1,381.28	Professional		$355.98	$566.34	$1,381.28
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 $420.71 / $441.79 / $488.77	Professional		$420.71	$441.79	$488.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $563.97	Professional		$32.34	$32.34	$563.97
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 $326.51 / $448.42 / $719.57	Professional		$326.51	$448.42	$719.57