Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.24 / $1,609.00 / $5,091.00	Facility		$597.24	$1,609.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.99 / $555.83 / $922.78	Professional		$373.99	$555.83	$922.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.70 / $4,255.85 / $8,601.43	Facility		$2,796.70	$4,255.85	$8,601.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.42 / $665.75 / $918.78	Professional		$430.42	$665.75	$918.78
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 $391.16 / $576.39 / $945.07	Professional		$391.16	$576.39	$945.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.06 / $702.77 / $1,564.45	Professional		$389.06	$702.77	$1,564.45
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 $455.69 / $458.11 / $694.84	Professional		$455.69	$458.11	$694.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $785.70	Professional		$32.34	$32.34	$785.70
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 $490.63 / $641.54 / $1,110.68	Professional		$490.63	$641.54	$1,110.68