Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.85 / $1,278.00 / $5,549.00	Facility		$480.85	$1,278.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.37 / $308.38 / $549.75	Professional		$218.37	$308.38	$549.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,786.97 / $3,822.40 / $7,654.35	Facility		$1,786.97	$3,822.40	$7,654.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.82 / $472.20 / $522.47	Professional		$316.82	$472.20	$522.47
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 $311.13 / $434.29 / $611.22	Professional		$311.13	$434.29	$611.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $321.69 / $492.19 / $1,960.59	Professional		$321.69	$492.19	$1,960.59
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 $305.07 / $367.71 / $418.20	Professional		$305.07	$367.71	$418.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $482.54	Professional		$32.34	$32.34	$482.54
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 $291.37 / $433.31 / $676.20	Professional		$291.37	$433.31	$676.20