Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.48 / $1,620.00 / $5,393.00	Facility		$518.48	$1,620.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.47 / $335.59 / $578.83	Professional		$276.47	$335.59	$578.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,284.98 / $4,431.28 / $7,349.57	Facility		$2,284.98	$4,431.28	$7,349.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.79 / $577.64 / $687.67	Professional		$385.79	$577.64	$687.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.49 / $491.45 / $681.85	Professional		$355.49	$491.45	$681.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $375.96 / $553.76 / $1,451.12	Professional		$375.96	$553.76	$1,451.12
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 $372.27 / $399.31 / $497.98	Professional		$372.27	$399.31	$497.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $574.59	Professional		$32.34	$32.34	$574.59
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 $335.08 / $499.38 / $758.73	Professional		$335.08	$499.38	$758.73