Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.49 / $2,514.96 / $7,823.33	Facility		$526.49	$2,514.96	$7,823.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.88 / $447.15 / $791.88	Professional		$324.88	$447.15	$791.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,429.46 / $4,936.88 / $9,308.62	Facility		$2,429.46	$4,936.88	$9,308.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.69 / $674.33 / $758.44	Professional		$477.69	$674.33	$758.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.16 / $601.72 / $830.43	Professional		$374.16	$601.72	$830.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.04 / $676.77 / $1,529.97	Professional		$436.04	$676.77	$1,529.97
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 $429.59 / $488.89 / $622.79	Professional		$429.59	$488.89	$622.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $718.62	Professional		$32.34	$32.34	$718.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,625.00	Facility		$1,282.00	$3,751.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.14 / $567.35 / $929.14	Professional		$385.14	$567.35	$929.14