Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.21 / $1,365.00 / $5,091.00	Facility		$485.21	$1,365.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.56 / $264.08 / $549.09	Professional		$218.56	$264.08	$549.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,178.63 / $2,605.85 / $5,683.70	Facility		$1,178.63	$2,605.85	$5,683.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.70 / $589.16 / $648.17	Professional		$454.70	$589.16	$648.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $929.98 / $1,038.21	Facility		$463.00	$929.98	$1,038.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.04 / $499.59 / $686.37	Professional		$277.04	$499.59	$686.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $372.02 / $579.57 / $1,434.24	Professional		$372.02	$579.57	$1,434.24
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 $360.85 / $440.61 / $509.87	Professional		$360.85	$440.61	$509.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $576.54	Professional		$32.34	$32.34	$576.54
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.27 / $435.75 / $742.83	Professional		$245.27	$435.75	$742.83