Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,379.00 / $5,389.00	Facility		$463.00	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.07 / $250.83 / $479.39	Professional		$207.07	$250.83	$479.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,494.91 / $3,197.68 / $6,403.35	Facility		$1,494.91	$3,197.68	$6,403.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.30 / $404.12 / $463.31	Professional		$307.30	$404.12	$463.31
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 $256.36 / $363.46 / $539.59	Professional		$256.36	$363.46	$539.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $292.05 / $423.96 / $1,513.52	Professional		$292.05	$423.96	$1,513.52
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 $281.23 / $314.94 / $349.74	Professional		$281.23	$314.94	$349.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $395.47	Professional		$32.34	$32.34	$395.47
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.06 / $356.19 / $568.37	Professional		$240.06	$356.19	$568.37