Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.11 / $1,933.00 / $5,393.00	Facility		$445.11	$1,933.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.91 / $252.74 / $445.11	Professional		$219.91	$252.74	$445.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,284.98 / $4,209.30 / $6,164.80	Facility		$2,284.98	$4,209.30	$6,164.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.08 / $414.34 / $488.52	Professional		$308.08	$414.34	$488.52
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 $272.91 / $372.36 / $536.73	Professional		$272.91	$372.36	$536.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $296.74 / $430.24 / $1,398.26	Professional		$296.74	$430.24	$1,398.26
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 $296.66 / $319.63 / $352.34	Professional		$296.66	$319.63	$352.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $406.55	Professional		$32.34	$32.34	$406.55
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 $261.29 / $360.66 / $555.66	Professional		$261.29	$360.66	$555.66