Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.40 / $1,055.00 / $5,389.00	Facility		$397.40	$1,055.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.32 / $365.27 / $682.51	Professional		$248.32	$365.27	$682.51
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
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 $341.57 / $532.82 / $753.96	Professional		$341.57	$532.82	$753.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $379.17 / $606.66 / $1,483.49	Professional		$379.17	$606.66	$1,483.49
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 / $558.99	Professional		$340.67	$406.25	$558.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $644.99	Professional		$32.34	$32.34	$644.99
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.59 / $562.59 / $958.42	Professional		$391.59	$562.59	$958.42