Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.26 / $2,747.00 / $5,580.00	Facility		$465.26	$2,747.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.11 / $254.35 / $465.26	Professional		$187.11	$254.35	$465.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.09 / $3,270.80 / $6,549.77	Facility		$1,529.09	$3,270.80	$6,549.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.70 / $407.16 / $450.62	Professional		$310.70	$407.16	$450.62
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 $270.77 / $374.47 / $493.74	Professional		$270.77	$374.47	$493.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $277.38 / $423.20 / $1,828.50	Professional		$277.38	$423.20	$1,828.50
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 $266.06 / $317.14 / $360.59	Professional		$266.06	$317.14	$360.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $416.07	Professional		$32.34	$32.34	$416.07
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.96 / $346.21 / $567.88	Professional		$237.96	$346.21	$567.88