Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.04 / $1,055.00 / $5,091.00	Facility		$412.04	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.32 / $381.14 / $705.35	Professional		$248.32	$381.14	$705.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.36 / $3,228.51 / $7,510.49	Facility		$396.36	$3,228.51	$7,510.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.87 / $521.40 / $723.83	Professional		$397.87	$521.40	$723.83
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 $343.38 / $532.82 / $777.39	Professional		$343.38	$532.82	$777.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $387.56 / $626.98 / $1,522.12	Professional		$387.56	$626.98	$1,522.12
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 $340.67 / $406.25 / $577.49	Professional		$340.67	$406.25	$577.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $666.33	Professional		$32.34	$32.34	$666.33
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $770.00 / $3,685.00	Facility		$204.00	$770.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.20 / $599.67 / $1,087.04	Professional		$381.20	$599.67	$1,087.04