Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.21 / $1,609.00 / $5,091.00	Facility		$585.21	$1,609.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.92 / $545.64 / $899.74	Professional		$349.92	$545.64	$899.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,788.44 / $3,996.85 / $7,999.29	Facility		$2,788.44	$3,996.85	$7,999.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.09 / $587.01 / $901.82	Professional		$399.09	$587.01	$901.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.49 / $546.92 / $921.28	Professional		$358.49	$546.92	$921.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $367.73 / $681.29 / $1,796.50	Professional		$367.73	$681.29	$1,796.50
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 $419.69 / $426.11 / $681.29	Professional		$419.69	$426.11	$681.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $770.38	Professional		$32.34	$32.34	$770.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $461.06 / $600.86 / $1,086.11	Professional		$461.06	$600.86	$1,086.11